Proformance Physical Therapy, LLC

NPI #1720012065 in Pullman, Washington

Provider Information

NPI Number: 1720012065
Entity Type: Organization
Organization Name: Proformance Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 840 SE BISHOP BLVD
Address 2: SUITE 200
City: Pullman
State: Washington
ZIP Code: 99163-5502
Phone: (509) 338-9204

Authorized Official

Name: MR. ROBERT TIMOTHY BASHAW, PT
Title: OWNER
Phone: (509) 338-9204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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