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Organization
SPORTSMED PHYSICAL THERAPY, INC., P.S.
Active
Organization
SPORTSMED PHYSICAL THERAPY, INC., P.S.
Active
Other names
SportsMed Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM BLAKE KERSHAW P.T., M.P.T., O.C.S (OWNER / PHYSICAL THERAPIST)
(801) 455-7329
Entity
Organization
Contact information
Practice address
463 TREMONT STREET W., SUITE 102, PORT ORCHARD, WA 98366-0000
(360) 895-1160
(360) 895-1161
Mailing address
PO BOX 11009, CASCADE BILLING, OLYMPIA, WA 98508-1009
(360) 352-2037
(360) 352-0637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/23/2009
Last updated
05/11/2009
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