Provider Demographics
NPI:1235280801
Name:PUNT PHYSIOTHERAPY CENTER PS INC
Entity Type:Organization
Organization Name:PUNT PHYSIOTHERAPY CENTER PS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:WALTHER
Authorized Official - Last Name:PUNT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:360-308-8449
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-0039
Mailing Address - Country:US
Mailing Address - Phone:360-308-8449
Mailing Address - Fax:360-308-8451
Practice Address - Street 1:9228 RIDGETOP BLVD NW
Practice Address - Street 2:SUITE 100
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8556
Practice Address - Country:US
Practice Address - Phone:360-308-8449
Practice Address - Fax:360-308-8451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003243225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty