Proformance Physical Therapy, Llc in Pullman - Physical Therapist
Proformance Physical Therapy, Llc - NPI 1720012065
Proformance Physical Therapy, Llc is a Physical Therapist in Pullman, Washington. Proformance Physical Therapy, Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Proformance Physical Therapy, Llc is 1720012065. The last update date is 2020-08-22.
Proformance Physical Therapy, Llc's current location address is 840 Se Bishop Blvd, Pullman, Washington. You can contact this provider via phone number 5093389204. The mailing address for Proformance Physical Therapy, Llc is 840 Se Bishop Blvd, Pullman, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Proformance Physical Therapy, Llc |
|---|---|
| Address | 840 Se Bishop Blvd, Pullman, Washington |
| Phone Number | 5093389204 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bashaw Timothy Robert |
| Credentials | PT |
| Telephone Number | 5093389204 |
NPI Number Detail
| NPI Number | 1720012065 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 840 Se Bishop Blvd |
|---|---|
| City | Pullman |
| State | Washington (WA) |
| Post Code | 991635502 |
| Phone Number | 5093389204 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7127467 | WA | -- | |
| 195909 | WA | DEPT. OF LABOR & INDUSTRY |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Proformance Physical Therapy, Llc by the Centers for Medicare & Medicaid Services?
The Proformance Physical Therapy, Llc has been issued the NPI (National Provider Identifier) 1720012065 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Proformance Physical Therapy, Llc's facilities are situated?
The facilities of Proformance Physical Therapy, Llc are physically located at the following address: 840 Se Bishop Blvd, Pullman, WA, 991635502.
What is the area of specialization for Proformance Physical Therapy, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Proformance Physical Therapy, Llc is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720012065 to Proformance Physical Therapy, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1720012065 to Proformance Physical Therapy, Llc on 2006-07-11.
As of what date were the Proformance Physical Therapy, Llc's details last updated?
The information pertaining to the Proformance Physical Therapy, Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.