| NPI | 1093905952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL K GOEBEL Owner 509-654-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00003554) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2012-07-19 |