| NPI | 1598247728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA GENEE TIPTON-GERPHEIDE PT/Owner And Operator 509-361-3847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WA 60108038) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |