Whalio Doctors

NPI 1265658876

Elite Muscular Therapy

Organisation Point of Service Vancouver, WA

Practice location

Address
210 W.Evergreen Suite 500, Vancouver, WA 98660
Phone
(360) 693-3863

Authorised official

Name
Debra Banks
Title
Lnp
Phone
(360) 693-3863

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence MA00006985 (WA)

Registry record

NPI
1265658876
Entity type
Organization
NPI issued
18 Apr 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.