| NPI | 1467922781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK G GARLOCK Provider 253-223-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |