| NPI | 1821290867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE S. YANO Owner 206-528-2954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: WA MA3648) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT5158) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |