NPI 1487239836 · live from the CMS NPI Registry
509 Wellness LLC
Physical Therapist in Deer Park, WA. National Provider Identifier 1487239836, active.
NPI record
| NPI | 1487239836 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3 N Main St, Deer Park, WA 99006 |
| Practice phone | 509-638-9808 |
| Mailing address | Po Box 1162, Loon Lake, WA 99148 |
| Enumerated | March 16, 2021 |
| Last updated | March 16, 2021 |
| Authorized official | Joseph Hilpert, Owner/Physical Therapist |
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.