| NPI | 1700232964 |
|---|---|
| Doing Business As | EDMONDS PHYSICAL THERAPY & SPORTS REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHANNON OKELLEY M PT/President 425-316-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |