Organization
PACIFIC THERAPY, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A TAFT PT (OWNER)
(253) 759-1310
Entity
Organization
Contact information
Practice address
4701 S 19TH ST STE 100, TACOMA, WA 98405-1199
(253) 759-1310
(253) 759-1330
Mailing address
4701 S 19TH ST STE 100, TACOMA, WA 98405-1199
(253) 759-1310
(253) 759-1330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00002558
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7118656
—
WA
Enumeration date
10/10/2006
Last updated
03/03/2017
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