Healthcare Provider Details

I. General information

NPI: 1861302101
Provider Name (Legal Business Name): RELEASE MANUAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 EVERGREEN PARK DR SW STE C4
OLYMPIA WA
98502-6007
US

IV. Provider business mailing address

2415 EVERGREEN PARK DR SW STE C4
OLYMPIA WA
98502-6007
US

V. Phone/Fax

Practice location:
  • Phone: 360-456-4798
  • Fax:
Mailing address:
  • Phone: 360-456-4798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANDREA MOHRLE
Title or Position: OWNER
Credential: MSPT, JSCC, CSC I
Phone: 360-456-4798