| NPI | 1407226590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY LITKE COO 509-460-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: WA 601824458) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA 601824458) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2025-09-14 |