| NPI | 1912538505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON BENNETT Physical Therapist 360-349-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2026-01-02 |