| NPI | 1790181899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE EUGENE HESS Owner 360-754-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2025-05-29 |