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Organization
SUNNYSIDE PHYSICAL & SPORTS THERAPY
Active
Organization
SUNNYSIDE PHYSICAL & SPORTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA CARNINE PT (OWNER)
(406) 531-5918
Entity
Organization
Contact information
Practice address
1405 E EDISON AVE, SUNNYSIDE, WA 98944-1622
(509) 837-7400
(509) 837-5068
Mailing address
PO BOX 90, SUNNYSIDE, WA 98944-0090
(509) 837-7400
(509) 837-5068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009405
WA
225700000X
Massage Therapist
MA00017601
WA
Other
Enumeration date
07/15/2006
Last updated
12/30/2024
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