| NPI | 1245294917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J ELDER Office Manager 206-362-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00005030) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00003039) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00000735) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2025-09-11 |