| NPI | 1801642871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RICHARD SMITH Physical Therapist/Part Owner 360-840-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |