| NPI | 1801964291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB EARLE KENNELL Owner 509-737-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00007246) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2017-05-03 |