Pro-Active Sportsmed Pllc
NPI #1861612335 in Tumwater, Washington
Provider Information
- NPI Number
- 1861612335
- Entity Type
- Organization
- Organization Name
- Pro-Active Sportsmed Pllc
- Primary Specialty
- Physical Therapist - Orthopedic
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Mar 14, 2025
Practice Location
- Address
- 111 TUMWATER BLVD SE STE 113
- City
- Tumwater
- State
- Washington
- ZIP Code
- 98501-6422
- Phone
- (605) 283-3003
Authorized Official
- Name
- MR. VINCE A GILDNER, PT, ATC, CSCS
- Title
- CLINIC DIRECOR
- Phone
- (360) 528-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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