Organization Name: | SPORTSMED PHYSICAL THERAPY, INC., P.S. |
NPI Number: | 1881834448 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADAM BLAKE KERSHAW (OWNER / PHYSICAL THERAPIST) |
Mailing Address: | 463 Tremont Street W. Suite 102 Port Orchard |
State: | WA US |
Postal Code: | 983660000 |
Phone Number: | 3608951160 |
Fax Number: | 3608951161 |
NPI Enumeration Date: | 02/23/2009 |
NPI Last Update Date: | 05/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |