Northwest Center for Sports Medicine & Physical Therapy INC

NPI #1922652262 in Tumwater, Washington

Provider Information

NPI Number: 1922652262
Entity Type: Organization
Organization Name: Northwest Center for Sports Medicine & Physical Therapy INC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 25, 2019
Last Updated: Jul 25, 2019

Practice Location

Address: 5765 LITTLEROCK RD SW STE 107
City: Tumwater
State: Washington
ZIP Code: 98512-7311
Phone: (564) 999-4146

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
Phone: (423) 238-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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