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Organization
RESTORATIVE THERAPY SPECIALISTS, PLLC
Active
Organization
RESTORATIVE THERAPY SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LONGBOTTOM PT, DPT, NCS (MEMBER)
(509) 388-2270
Entity
Organization
Contact information
Practice address
1608 S 24TH AVE, SUITE 100, YAKIMA, WA 98902-5719
(509) 388-2270
(509) 320-4109
Mailing address
1608 S 24TH AVE, SUITE 100, YAKIMA, WA 98902-5719
(509) 388-2270
(509) 320-4109
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
00006243
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811251861
INDIVIDUAL NPI
—
Enumeration date
01/30/2014
Last updated
03/10/2015
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