| NPI | 1821489238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN DENISE AXTEN Physical Therapist / Owner 360-607-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OR 01557) |
| Enumeration Date | 2015-02-07 |
| Last Update Date | 2024-06-21 |