| NPI | 1164246062 |
|---|---|
| Doing Business As | LIFESTYLE PHYSICAL THERAPY, PLLC |
| Entity Type | Organization |
| Authorized Contact | PAUL E DODSON Member 509-628-9966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |