| NPI | 1396150835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM JEFFREY SCHETSELAAR Owner 253-217-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT60391158) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |