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Organization
PHENIX PHYSICAL THERAPY & PERSONAL WELLNESS, LLC
Active
Organization
PHENIX PHYSICAL THERAPY & PERSONAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REID M KUETHER MPT, OCS (CEO/PHYSICAL THERAPIST)
(206) 713-6249
Entity
Organization
Contact information
Practice address
1301 4TH AVE NW, SUITE 300, ISSAQUAH, WA 98027-9371
(425) 395-7317
(425) 395-7319
Mailing address
1301 4TH AVE NW, SUITE 300, ISSAQUAH, WA 98027-9371
(425) 395-7317
(425) 395-7319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007633
WA
225700000X
Massage Therapist
MA00012293
WA
Other
Enumeration date
02/06/2015
Last updated
06/10/2021
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