Provider Demographics
NPI:1407011182
Name:ARGONAUT PEAK PHYSICAL THERAPY, INC. PS
Entity Type:Organization
Organization Name:ARGONAUT PEAK PHYSICAL THERAPY, INC. PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SUTTLES
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:509-962-1553
Mailing Address - Street 1:PO BOX 2689
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98807-2689
Mailing Address - Country:US
Mailing Address - Phone:509-260-1051
Mailing Address - Fax:888-538-7694
Practice Address - Street 1:722 E UNIVERSITY WAY
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-2947
Practice Address - Country:US
Practice Address - Phone:509-962-1553
Practice Address - Fax:509-962-1554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-22
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006580225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty