Organization
NORTHWEST PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL K GOEBEL PT (OWNER)
(509) 654-7678
Entity
Organization
Contact information
Practice address
1211 N 16TH AVE, YAKIMA, WA 98902-1347
(509) 654-7678
(509) 654-7679
Mailing address
100 E JACKSON AVE, SUITE 201, ELLENSBURG, WA 98926-3692
(509) 925-6220
(509) 925-6221
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00003554
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7140320
—
WA
Enumeration date
07/27/2007
Last updated
07/19/2012
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