| NPI | 1164055513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACKENZIE M WOODWORTH Speech Language Pathologist 509-981-3998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2024-01-21 |