Organization
ELITE KITSAP PERFORMANCE PHYSICAL THERAPY LLC
Active
Organization
ELITE KITSAP PERFORMANCE PHYSICAL THERAPY LLC
Active
Other names
Elite Kitsap Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALEB R CUMMINS DPT (OWNER)
(315) 405-5795
Entity
Organization
Contact information
Practice address
5686 NE MINDER RD STE 104, POULSBO, WA 98370-5809
(315) 405-5795
Mailing address
PO BOX 296, CHIMACUM, WA 98325-0296
(315) 405-5795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
06/28/2023
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