Elite Physical & Sports Therapy LLC

NPI #1174782999 in Spokane, Washington

Provider Information

NPI Number: 1174782999
Entity Type: Organization
Organization Name: Elite Physical & Sports Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 6, 2008
Last Updated: Jan 5, 2015

Practice Location

Address: 309 E FARWELL
Address 2: STE 104
City: Spokane
State: Washington
ZIP Code: 99218
Phone: (509) 465-2139

Authorized Official

Name: MIKE KISTLER, M.S.P.T
Title: OWNER
Phone: (509) 465-2139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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