NPI 1124739693 · live from the CMS NPI Registry
Agility PT PLLC
Physical Therapist in Walla Walla, WA. National Provider Identifier 1124739693, active.
NPI record
| NPI | 1124739693 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 614 E Alder St Ste 4, Walla Walla, WA 99362 |
| Practice phone | 509-956-9047 |
| Mailing address | 522 W Riverside Ave Ste N, Spokane, WA 99201 |
| Enumerated | December 6, 2022 |
| Last updated | March 1, 2023 |
| Authorized official | Victor Attoh, Owner |
| Other names | Agility Physical Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.