| Organization Name: | WOODLAND CREEK PHYSICAL THERAPY LLC |
| NPI Number: | 1578640124 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT O. ENSIGN (OWNER) |
| Mailing Address: | 5205 Corporate Center Ct Se Suite C Lacey |
| State: | WA US |
| Postal Code: | 985035901 |
| Phone Number: | 3604121367 |
| Fax Number: | 3604121391 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 05/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 602 027 552 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |