| NPI | 1861129967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA THALLER Owner, Physical Therapist 360-870-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |