G4 Athlete LLC
NPI #1740689520 in Mercer Island, Washington
Provider Information
- NPI Number
- 1740689520
- Entity Type
- Organization
- Organization Name
- G4 Athlete LLC
- Primary Specialty
- Physical Therapist - Sports
- Enumeration Date
- Aug 18, 2014
- Last Updated
- Aug 18, 2014
Practice Location
- Address
- 2737 77TH AVE SE
- Address 2
- SUITE 214
- City
- Mercer Island
- State
- Washington
- ZIP Code
- 98040-2830
- Phone
- (206) 518-9405
Authorized Official
- Name
- MR. BRENT M GEORGE, MPT
- Title
- PHYSICAL THERAPIST/CLINIC OWNER
- Phone
- (206) 518-9405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Sports — Sports |
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