| NPI | 1457433922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LEE REYNOLDS Owner/Office Manager 509-323-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00002713) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00009180) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |