Coast Spine and Sports Medicine Pllc
NPI #1790401016 in Lacey, Washington
Provider Information
- NPI Number
- 1790401016
- Entity Type
- Organization
- Organization Name
- Coast Spine and Sports Medicine Pllc
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Oct 18, 2022
- Last Updated
- Jul 5, 2024
Practice Location
- Address
- 8140 FREEDOM LN NE STE A
- City
- Lacey
- State
- Washington
- ZIP Code
- 98516-4752
- Phone
- (253) 648-1853
Authorized Official
- Name
- SANDY CLEMENS
- Title
- ACCESS MANAGER
- Phone
- (536) 481-8532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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