Organization
ELEVATE SPORTS AND SPINE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY HALL (OWNER)
(360) 888-8009
Entity
Organization
Contact information
Practice address
3201 WILLAMETTE DR NE STE C, LACEY, WA 98516-1376
(360) 888-8009
Mailing address
941 G ST SW, TUMWATER, WA 98512-4602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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