Organization
ELITE PHYSICAL & SPORTS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KISTLER M.S.P.T (OWNER)
(509) 465-2139
Entity
Organization
Contact information
Practice address
309 E FARWELL, STE 104, SPOKANE, WA 99218
(509) 465-2139
(509) 465-2548
Mailing address
309 E FARWELL, STE 104, SPOKANE, WA 99218
(509) 465-2139
(509) 465-2548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008610
WA
Other
Enumeration date
06/06/2008
Last updated
01/05/2015
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