Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Moses Lake Sports Physical Therapy, Ps

Organization Physical Therapist · NPI 1912022658

Moses Lake Sports Physical Therapy, Ps provides Physical Therapist services in Moses Lake, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

515 N Stratford Rd
Moses Lake, WA 98837-1572 Not confirmed with CMS for 18 years — call before visiting
Phone: (509) 766-4277
Fax: (509) 766-4280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00005408 (WA)

Record details

NPI number1912022658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Bruce — Physical Therapist · (509) 766-4277
NPI enumeratedMarch 20, 2007
Last updated in NPPESApril 30, 2008
Mailing address515 N Stratford Rd, Moses Lake, WA 98837-1572

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