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NPI Code Detail

MEDICARE: DAVID WETMORE PT

MEDICARE: DAVID WETMORE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT00006937WA

General Provider Information

NPI Number : 1851507966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID WETMORE PT
Provider Business Mailing Address
First Line : 506 S JACKSON ST
Second Line :
City : RITZVILLE
State : WA
Zip : 99169-2106
Country : US
Telephone Number : 509-659-1600
Fax Number : 509-659-1317
Provider Business Practice Location Address
First Line : 506 S JACKSON ST
Second Line :
City : RITZVILLE
State : WA
Zip : 99169-2106
Country : US
Telephone Number : 509-659-1600
Fax Number : 509-659-1317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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Directions to “ DAVID WETMORE PT” Practice Location

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