Organization
PEAK SPORTS & SPINE PHYSICAL THERAPY - MAPLE VALLEY PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL KOWALINSKI PT, DPT (OWNER)
(425) 584-7704
Entity
Organization
Contact information
Practice address
22443 SE 240TH ST STE 201, MAPLE VALLEY, WA 98038-5879
(425) 306-4265
Mailing address
22443 SE 240TH ST STE 201, MAPLE VALLEY, WA 98038-5879
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
06/06/2022
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