| Organization Name: | ALTIUS PHYSICAL THERAPY, LLC |
| NPI Number: | 1194037846 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW NELSON (OWNER) |
| Mailing Address: | 625 Highway 20 Winthrop |
| State: | WA US |
| Postal Code: | 98862 |
| Phone Number: | 5093414011 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2010 |
| NPI Last Update Date: | 07/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT 00003919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |