| Organization Name: | WEST CAMPUS SPORT & ORTHOPEDIC PHYSICAL PS INC. |
| NPI Number: | 1205903390 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE M MERDICH (OFFICE MANAGER) |
| Mailing Address: | 32717 1st Ave S #9 Federal Way |
| State: | WA US |
| Postal Code: | 980035758 |
| Phone Number: | 2538746620 |
| Fax Number: | 2538742542 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 02/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00002979 |
| 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 |