| NPI | 1124402292 |
|---|---|
| Former Legal Business Name | WHATCOM SPORTS INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | BRIAN JOSEPH WEEDA Owner 360-303-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00006136) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2023-03-09 |