Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tahoma Physical Therapy PLLC

Organization Physical Therapist · NPI 1093528879

Tahoma Physical Therapy PLLC is a Physical Therapist in Olympia, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1802 Black Lake Blvd SW Unit 104
Olympia, WA 98512-5665
Phone: (530) 386-2452
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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 number1093528879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Novoa — Owner/Physical Therapist · (530) 386-2452
NPI enumeratedJanuary 28, 2025
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025
Mailing address1802 Black Lake Blvd Sw Unit 104, Olympia, WA 98512-5665

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