| NPI | 1255409850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED RYAN RATTRAY President 509-962-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA OT00003293) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-08-30 |