| 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 |