Revitalize Physical Therapy Pllc
NPI #1114894417 in Vancouver, Washington
Provider Information
- NPI Number
- 1114894417
- Entity Type
- Organization
- Organization Name
- Revitalize Physical Therapy Pllc
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 21, 2025
- Last Updated
- Oct 21, 2025
Practice Location
- Address
- 2102 E MCLOUGHLIN BLVD
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98661-4130
- Phone
- (360) 448-3544
Authorized Official
- Name
- RYAN IGGULDEN, PTA
- Title
- OWNER
- Phone
- (360) 448-3544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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