Organization
JET CITY HOLDINGS, INC
Active
Other names
G2 Sports Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE RANDALL RUNJE (PRESIDENT)
(425) 503-0830
Entity
Organization
Contact information
Practice address
486 228TH AVE NE, SAMMAMISH, WA 98074-7209
(425) 836-8444
(425) 836-8447
Mailing address
1482 26TH AVE NE, ISSAQUAH, WA 98029-7414
(425) 503-0930
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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