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Proactive Sportsmed
Orthopedic Physical Therapist in Lacey, Washington
NPI 1861612335

Proactive Sportsmed is a Orthopedic Physical Therapist based in Lacey, WA and is specialized in Orthopedic. Proactive Sportsmed practices in Lacey, WA. The NPI Number for Proactive Sportsmed is 1861612335 and holds a License No. (Washington).

The current practice location address for Proactive Sportsmed is 4200 6Th Ave Se Ste 203, Lacey, WA and can be reached out via phone at 360-455-4448 and via fax at 360-455-9833.

Location: 4200 6Th Ave Se Ste 203, Lacey, WA, 98503-1042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861612335
Provider Name
Proactive Sportsmed
Credential
Provider Entity Type
Organization
Address
4200 6Th Ave Se Ste 203, Lacey, WA, 98503-1042
Phone Number
360-455-4448
Fax Number
360-455-9833
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7112923 05 WA
institution
Provider Business Practice Location Address Details
Address
4200 6Th Ave Se Ste 203
City
Lacey
State
Washington
Zip
98503-1042
Phone Number
360-455-4448
Fax Number
360-455-9833
person
Provider Business Mailing Address Details
Address
4200 6Th Ave Se Ste 203
City
Lacey
State
Washington
Zip
98503-1042
Phone Number
360-455-4448
Fax Number
360-455-9833
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
()
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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