Organization
KINGSFORD PHYSICAL THERAPY AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAIDEN KINGSFORD DPT (OWNER/PROVIDER)
(509) 598-9402
Entity
Organization
Contact information
Practice address
2207 N MOLTER RD STE 203, LIBERTY LAKE, WA 99019-7571
(509) 598-9402
(509) 436-1139
Mailing address
PO BOX 72, LIBERTY LAKE, WA 99019-0072
(509) 598-9402
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/17/2023
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