NPI | 1932908837 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLI HENRICKSEN Owner / Manager /Physical Therapist 360-789-5384 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2025-03-12 |
Last Update Date | 2025-04-28 |