Peak Sports and Spine Pt-Issaquah P S

NPI #1740408905 in Issaquah, Washington

Provider Information

NPI Number: 1740408905
Entity Type: Organization
Organization Name: Peak Sports and Spine Pt-Issaquah P S
Primary Specialty: Physical Therapist
Enumeration Date: Apr 23, 2007
Last Updated: Jan 8, 2019

Practice Location

Address: 1445 NW MALL STREET
Address 2: STE. 1
City: Issaquah
State: Washington
ZIP Code: 98027
Phone: (425) 391-9211

Authorized Official

Name: DANIEL L SWWINSCOE JR., MPT
Title: OWNER
Phone: (425) 391-9211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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