Organization
COURT CLUB PHYSICAL THERAPY, LLC
Active
Other names
Physical Therapy @ the Pacific Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ANN KLIPHARDT (CLINIC MANAGER)
(509) 735-2014
Entity
Organization
Contact information
Practice address
1350 N GRANT ST, KENNEWICK, WA 99336-1355
(509) 735-2014
(509) 735-3980
Mailing address
1350 N GRANT ST, KENNEWICK, WA 99336-1355
(509) 735-2014
(509) 735-3980
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7119324
—
WA
Enumeration date
06/01/2007
Last updated
01/08/2021
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