# REVITALIZE MOVEMENT PHYSICAL THERAPY STUDIO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FYZICAL Therapy and Balance Center Snoqualmie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124591607
- **Authorized official:** ELIZABETH APPLE DPT (OWNER/PHYSICAL THERAPIST)
- **Authorized official phone:** (206) 930-7476

## Contact information

- **Practice address:** 35314 SE CENTER ST, SNOQUALMIE, WA 98065-9216
- **Practice address phone:** (206) 930-7476
- **Mailing address:** 35314 SE CENTER ST, SNOQUALMIE, WA 98065-9216
- **Mailing address phone:** (206) 930-7476
- **Mailing address fax:** (425) 642-3057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2019
- **Last updated:** 02/21/2019