Organization
TOTAL MOTION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY D CASTLEMAN PT (OWNER/ PHYSICAL THERAPIST)
(509) 540-9318
Entity
Organization
Contact information
Practice address
85081 TUM A LUM RD, MILTON FREEWATER, OR 97862-7411
(509) 540-9318
Mailing address
85081 TUM A LUM RD, MILTON FREEWATER, OR 97862-7411
(509) 540-9318
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00007989
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153020
DEPT L AND I
WA
05
—
230022
—
OR
Enumeration date
12/01/2015
Last updated
12/01/2015
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