Prevail Practices, Pllc

NPI #1740723915 in Shoreline, Washington

Provider Information

NPI Number: 1740723915
Entity Type: Organization
Organization Name: Prevail Practices, Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Nov 21, 2016
Last Updated: Nov 21, 2016

Practice Location

Address: 18303 1ST AVE NE
City: Shoreline
State: Washington
ZIP Code: 98155-3529
Phone: (206) 920-5372

Authorized Official

Name: MR. KENNETH BRUK BALLENGER, DPT, PT
Title: OWNER, MANAGER
Phone: (206) 920-5372

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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