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Organization
MOUNTAINSIDE PT LLC
Active
Organization
MOUNTAINSIDE PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLEE VINSON (OWNER)
(425) 358-1587
Entity
Organization
Contact information
Practice address
38110 236TH AVE SE, ENUMCLAW, WA 98022-5802
(425) 358-1587
Mailing address
38110 236TH AVE SE, ENUMCLAW, WA 98022-5802
(425) 358-1587
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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