Performance Sports and Spine Physical Therapy Ps
Performance Sports and Spine Physical Therapy Ps is a Physical Therapist in Enumclaw, Washington. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
2726 Griffin Ave Ste CEnumclaw, WA 98022-2362
Phone: (360) 802-6757
Fax: (360) 802-6756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1558503664 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bobby Ismail — President · (209) 353-1988 |
| NPI enumerated | April 3, 2009 |
| Last updated in NPPES | December 6, 2023 |
| Certification date | December 6, 2023 |
| Mailing address | 2726 Griffin Ave, Suite C, Enumclaw, WA 98022-2362 |
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Keira Lynn Uphaus, DPT
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