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Pro Sport Physical Therapy, LLC

Physical Therapist in Gig Harbor, WA. Organization (NPI-2).

NPI number1114552155
StatusActive
Last updated in NPPESNov 13, 2024

Details

NPI
1114552155
Entity type
Organization (NPI-2)
Legal business name
Pro Sport Physical Therapy, LLC
Organization subpart
No
Enumeration date
Mar 10, 2020
Certification date
Nov 13, 2024
Last updated
Nov 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

5160 Borgen Blvd Ste 101
Gig Harbor, WA 98332-8809

Phone 253-853-4000 · Fax 253-853-4001

Mailing address

5160 Borgen Blvd Ste 101
Gig Harbor, WA 98332-8809

Phone 253-853-4000 · Fax 253-853-4001

Authorized official

Sean Spaulding
Owner
2538534000

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