Organization
BLACK DIAMOND SPORTS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAWNA N SCHMIDT (OFFICE MANAGER)
(509) 663-7733
Entity
Organization
Contact information
Practice address
147 EASY WAY SUITE #106, WENATCHEE, WA 98801
(509) 663-7733
(509) 663-3255
Mailing address
147 EASY WAY SUITE #106, WENATCHEE, WA 98801
(509) 663-7733
(509) 663-3255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
05/15/2012
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