| NPI | 1508874801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON OWEN BUCKHOLZ Owner/Physical Therapist 253-722-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA 602512736) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |