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Organization
YELM PHYSICAL THERAPY SERVICES INC PS
Active
Organization
YELM PHYSICAL THERAPY SERVICES INC PS
Active
Other names
Yelm Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY A PROVOZNIK (OPERATIONS MANAGER)
(360) 338-0181
Entity
Organization
Contact information
Practice address
417 W YELM AVE, YELM, WA 98597-7679
(360) 458-2444
(360) 458-2747
Mailing address
100 DENNIS ST SW STE B, TUMWATER, WA 98501-6523
(360) 458-2444
(360) 458-2747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
11/04/2025
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