Pacific Therapy, Ps

NPI 1164519195

Information of Pacific Therapy, Ps

The NPI 1164519195 is an Organization type. NPI No 1164519195 belongs to Pacific Therapy, Ps. Pacific Therapy, Ps specializes in Specialist. is practising at 4701 S 19th St Ste 100, Tacoma, Washington 98405. You can also contact him via phone number (253) 759-1310.

Practice address located

  • 4701 S 19th St Ste 100
  • Tacoma, Washington 98405
  • (253) 759-1310
  • (253) 759-1310

Mailling address located

  • 4701 S 19th St Ste 100
  • Tacoma, Washington 98405
  • (253) 759-1310
  • (253) 759-1330
Pacific Therapy, Ps is PECOS enrolled.
NPI No 1164519195
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes174400000XSpecialistPT00002558Washington
Identifier for this provider
StateIdentifierTypeIssuer
WA7118656Medicaidn/a
WAGAB39581Medicare ID-Type Unspecifiedn/a
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