Individual
ANDREW G EISENTROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60328329
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024758
—
WA
Enumeration date
02/14/2013
Last updated
04/26/2021
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