| NPI | 1235729187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL GUY BLAKNEY Physical Therapist 253-318-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-01-25 |