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General NPI Number Information
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NPI Number | 1336457373
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Entity Type | Organization
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Legal Business Name | ARGONAUT PEAK PHYSICAL THERAPY , INC PS
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 722 E UNIVERSITY WAY
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City | ELLENSBURG
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State | WA
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Zip | 98926-2947
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Country | US
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Telephone | 509-962-1533
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Fax | 509-962-1554
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Provider Business Mailing Address
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Address Line | PO BOX 2689
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City | WENATCHEE
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State | WA
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Zip | 98807-2689
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Country | US
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Telephone | 509-260-1051
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Fax | 888-538-7694
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JONATHAN T SUTTLES
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Credential | MSPT
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Telephone | 509-962-1553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00006580
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License Number State | WA
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