Organization
JUAN DE FUCA FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD BOEHM PT (PHYSICAL THERAPIST)
(701) 527-0073
Entity
Organization
Contact information
Practice address
961 MEDSKER RD, SEQUIM, WA 98382-8509
(701) 527-0073
Mailing address
961 MEDSKER RD, SEQUIM, WA 98382-8509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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