| Organization Name: | OLYMPIA THERAPY LLC |
| NPI Number: | 1154600757 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARY HEATHER MCADAMS HAMILTON (OWNER/MEMBER) |
| Mailing Address: | 1610 Bishop Rd Sw Suite 105 Tumwater |
| State: | WA US |
| Postal Code: | 985127303 |
| Phone Number: | 3603572370 |
| Fax Number: | 3603572374 |
| NPI Enumeration Date: | 08/12/2011 |
| NPI Last Update Date: | 08/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |