Physical Therapy Northwest, Pllc

NPI #1104266451 in Kent, Washington

Provider Information

NPI Number: 1104266451
Entity Type: Organization
Organization Name: Physical Therapy Northwest, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Jul 1, 2013
Last Updated: Jul 1, 2013

Practice Location

Address: 319 WASHINGTON AVE S
City: Kent
State: Washington
ZIP Code: 98032-5767
Phone: (206) 909-9275

Authorized Official

Name: LUCAS ALLAN PREBLE, P.T.
Title: MANAGER/MEMBER
Phone: (206) 909-9275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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