Organization
SHELTON PHYSICAL THERAPY AND SPORTS MEDICINE CLINIC P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH R. ZYGAR P.T. (DIRECT OWNER OF 100 PERCENT)
(360) 426-5903
Entity
Organization
Contact information
Practice address
2300 KATI CT, SUITE B, SHELTON, WA 98584-1900
(360) 426-5903
(360) 426-5920
Mailing address
2300 KATI CT, SUITE B, SHELTON, WA 98584-1900
(360) 426-5903
(360) 426-5920
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00002305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7291404
—
WA
Enumeration date
05/14/2007
Last updated
08/22/2020
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