| NPI | 1467505099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PEEPLES Owner 360-733-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 6844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00006844) |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-10-04 |