Organization
CENTRAL WASHINGTON PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL SIMMONS PT (CEO)
(509) 469-7474
Entity
Organization
Contact information
Practice address
1127 TIETON DR, YAKIMA, WA 98902-3851
(509) 469-7474
(509) 469-7575
Mailing address
1127 TIETON DR, YAKIMA, WA 98902-3851
(509) 469-7474
(509) 469-7575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141704
LABOR & INDUSTRIES
WA
05
—
7097827
—
WA
Enumeration date
06/02/2006
Last updated
01/24/2013
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