Northwest Center for Sports Medicine & Physical Therapy INC
NPI #1861057184 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1861057184
- Entity Type
- Organization
- Organization Name
- Northwest Center for Sports Medicine & Physical Therapy INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 2, 2019
- Last Updated
- May 2, 2019
Practice Location
- Address
- 2116 E SECTION ST STE B17
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98274-9124
- Phone
- (800) 578-1104
Authorized Official
- Name
- KEVIN JOHANNESON
- Title
- VP REVENUE CYCLE
- Phone
- (423) 238-2313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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