Organization
DYNAMIC TRAINING XPLOSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LETT MA, MS, CPT, TSAC-F, (PRESIDENT)
(360) 685-7414
Entity
Organization
Contact information
Practice address
2119 SEVEN OAKS ST SE, LACEY, WA 98503-3090
(714) 235-2739
Mailing address
4570 AVERY LN SE STE C PMB 1108, LACEY, WA 98503
(360) 685-7414
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/30/2024
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