NPI 1619549417 · live from the CMS NPI Registry
Ablan PT LLC
Physical Therapist in Kelso, WA. National Provider Identifier 1619549417, active.
NPI record
| NPI | 1619549417 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 351 Three Rivers Dr Ste 1137, Kelso, WA 98626 |
| Practice phone | 360-270-4199 |
| Mailing address | 2737 Harris Street Rd, Kelso, WA 98626 |
| Enumerated | July 13, 2021 |
| Last updated | September 17, 2021 |
| Authorized official | Thomas Ablan, Physical Therapist/Owner |
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.