| NPI | 1336925866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY LYNN CRISPENO Doctor Of Physical Therapy 206-550-8132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |