Pro-Active Sportsmed Pllc
NPI #1538380639 in Tumwater, Washington
Provider Information
- NPI Number
- 1538380639
- Entity Type
- Organization
- Organization Name
- Pro-Active Sportsmed Pllc
- Primary Specialty
- Physical Therapist - Orthopedic
- Enumeration Date
- May 2, 2007
- Last Updated
- Mar 12, 2025
Practice Location
- Address
- 111 TUMWATER BLVD SE STE 113
- City
- Tumwater
- State
- Washington
- ZIP Code
- 98501-6422
- Phone
- (360) 528-3300
Authorized Official
- Name
- MIEKA EISEN
- Title
- BUSINESS MANAGER
- Phone
- (360) 528-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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| Pro-Active Sportsmed Pllc | AI Deep Dive |
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