| NPI | 1144685306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN THACKER Vice President 253-581-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-23 |