Organization
SHALOM'S PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANI'EL SHALOM POWELL DPT (PRESIDENT)
(509) 528-6918
Entity
Organization
Contact information
Practice address
114 VISTA WAY, KENNEWICK, WA 99336-3119
(509) 528-6918
Mailing address
1524 S JEFFERSON PL, KENNEWICK, WA 99338-2182
(509) 528-6918
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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