Pullman Sports Physical Therapy, INC

NPI #1366508087 in Pullman, Washington

Provider Information

NPI Number: 1366508087
Entity Type: Organization
Organization Name: Pullman Sports Physical Therapy, INC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 28, 2006
Last Updated: Apr 12, 2012

Practice Location

Address: 588 SE BISHOP BLVD
Address 2: SUITE A
City: Pullman
State: Washington
ZIP Code: 99163-5534
Phone: (509) 332-7778

Authorized Official

Name: BRENDA ROSE CLEVEN
Title: OFFICE MANAGER
Phone: (509) 332-7778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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