| Organization Name: | NORTHWEST PHYSICAL THERAPY SPORTS REHABILITATION CENTER, INC., P.S. |
| NPI Number: | 1174523054 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERNEST K. NIHI (OFFICE ADMINISTRATION) |
| Mailing Address: | 110 N Laventure Rd Ste A Mount Vernon |
| State: | WA US |
| Postal Code: | 982733901 |
| Phone Number: | 3604282700 |
| Fax Number: | 3604282701 |
| NPI Enumeration Date: | 07/21/2005 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 600377134 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |