Provider Demographics
NPI:1639979958
Name:HER PELVIC HEALTH PHYSICAL THERAPY P.C.
Entity type:Organization
Organization Name:HER PELVIC HEALTH PHYSICAL THERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:509-834-9742
Mailing Address - Street 1:1209 MAYER CT
Mailing Address - Street 2:
Mailing Address - City:SELAH
Mailing Address - State:WA
Mailing Address - Zip Code:98942-1740
Mailing Address - Country:US
Mailing Address - Phone:509-834-9742
Mailing Address - Fax:
Practice Address - Street 1:3405 W NOB HILL BLVD STE A
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-4732
Practice Address - Country:US
Practice Address - Phone:509-834-9742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy