| NPI | 1780953836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL MATHEW KELLEHER Owner/Physical Therapist 253-475-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 00002811) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |