| NPI | 1194380766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON MOORE CEO/Doctor Of Physical Therapy 509-220-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |