Healthcare Provider Details

I. General information

NPI: 1659346153
Provider Name (Legal Business Name): CENTRAL PHYSICAL THERAPY AND FITNESS, P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 12/14/2021
Certification Date: 12/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1917 FIR ST
PORT TOWNSEND WA
98368-3515
US

IV. Provider business mailing address

1917 FIR ST
PORT TOWNSEND WA
98368-3515
US

V. Phone/Fax

Practice location:
  • Phone: 206-860-3746
  • Fax:
Mailing address:
  • Phone: 206-860-3746
  • Fax: 360-344-2248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH M SCHAACK
Title or Position: BUSINESS MGR AND SEC TREAS OF CORP
Credential:
Phone: 206-860-3746