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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