| Organization Name: | POINT FOSDICK PHYSICAL THERAPY, INC PS |
| NPI Number: | 1609802230 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MITCHELL G BLAKNEY (PHYSICAL THERAPIST, OWNER) |
| Mailing Address: | 4700 Point Fosdick Drive Nw Suite 213 Gig Harbor |
| State: | WA US |
| Postal Code: | 98335 |
| Phone Number: | 2538515718 |
| Fax Number: | 2538536922 |
| NPI Enumeration Date: | 06/24/2006 |
| NPI Last Update Date: | 03/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00002125 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |