Organization
FIT FOR YOUR LIFE PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M STILES DPT (OWNER)
(509) 990-4583
Entity
Organization
Contact information
Practice address
21675 E MILL RIVER LN, LIBERTY LAKE, WA 99019-7696
(509) 990-4583
Mailing address
21675 E MILL RIVER LN, LIBERTY LAKE, WA 99019-7696
(509) 990-4583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008225
WA
Other
Enumeration date
09/22/2014
Last updated
12/12/2014
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