Woodland Creek Physical Therapy LLC

NPI #1578640124 in Lacey, Washington

Provider Information

NPI Number: 1578640124
Entity Type: Organization
Organization Name: Woodland Creek Physical Therapy LLC
Primary Specialty: Specialist
Enumeration Date: Nov 1, 2006
Last Updated: May 19, 2014

Practice Location

Address: 5205 CORPORATE CENTER CT SE
Address 2: SUITE C
City: Lacey
State: Washington
ZIP Code: 98503-5901
Phone: (360) 412-1367

Authorized Official

Name: MR. SCOTT O. ENSIGN, MPT, JSCC
Title: OWNER
Phone: (360) 412-1367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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