| NPI | 1073669412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG PETERSON Owner Physical Therapist 509-483-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005023) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00008140) |
| 225100000X Physical Therapist (Licence: WA PT00009478) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2015-03-13 |