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 |