Olympic Sports And Spine Rehabilitation Ps
LBN: Olympic Sports And Spine Rehabilitation Ps
Olympic Sports And Spine Rehabilitation Ps is an health care organization with primary practice located at 8011 112Th Street Ct E , Puyallup WA 98373-7814. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Suppliers / Durable Medical Equipment & Medical Supplies. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Olympic Sports And Spine Rehabilitation Ps can be contacted via phone (253) 848-0662, or through Essenberg, Vern J via phone (253) 581-5200.
Contact Information
Primary practice address
8011 112Th Street Ct E
Puyallup WA 98373-7814
Phone: (253) 848-0662
Fax: (253) 848-8567
Website:
Health care specialties
Profile Details
| NPI number | 1558310375 |
|---|---|
| LBN Legal business name | Olympic Sports And Spine Rehabilitation Ps |
| DBA Doing business as | |
| Authorized official | Essenberg, Vern J Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Feb 3rd, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558310375 | NPPES |
| Washington | Other | 42640 | LABOR & INDUSTRIES |
| Washington | Other | 8930571 | LABOR & INDUSTRIES |
| Washington | Other | 192149400 | LABOR & INDUSTRIES |
| Washington | Other | PO9605 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 7130271 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 7681703 | LABOR & INDUSTRIES |
| Washington | Other | CT1246 | LABOR & INDUSTRIES |
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