| Organization Name: | FARNES CLINIC, PS |
| NPI Number: | 1255426490 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LARRY D FARNES (PRESIDENT/ OWNER) |
| Mailing Address: | 4007 Bridgeport Way W Ste C University Place |
| State: | WA US |
| Postal Code: | 984664330 |
| Phone Number: | 2535657529 |
| Fax Number: | 2533992508 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 10/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00000922 |
| 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 |