Organization Name: | RESTORE PHYSICAL THERAPY PS |
NPI Number: | 1194195461 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARREN MOTT (OWNER/PROVIDER) |
Mailing Address: | 13909 Meridian E Suite A-2 Puyallup |
State: | WA US |
Postal Code: | 983739180 |
Phone Number: | 2538863551 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2015 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT6891 |
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 |