| NPI | 1225372915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RISSE Owner/Physical Therapist 509-456-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: WA 19320000X) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: WA 208100000X) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |