| NPI | 1255426490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D FARNES President/ Owner 253-565-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00000922) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-10-22 |