Pt Northwest of Longview, INC

NPI #1508208596 in Lacey, Washington

Provider Information

NPI Number: 1508208596
Entity Type: Organization
Organization Name: Pt Northwest of Longview, INC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 19, 2013
Last Updated: Oct 1, 2013

Practice Location

Address: 4770 YELM HWY SE
City: Lacey
State: Washington
ZIP Code: 98503-4986
Phone: (360) 491-6074

Authorized Official

Name: DR. DANIEL LEE HUGHES, DPT
Title: OWNER/PRESIDENT
Phone: (360) 423-9535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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