| NPI | 1528638202 |
|---|---|
| Doing Business As | PROACTIVE SPORTS THERAPY |
| Entity Type | Organization |
| Authorized Contact | THOMAS ANDRE Owner/Physical Therapist 425-422-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-07-21 |