South Sound Physical & Hand Therapy Pllc

LBN: South Sound Physical & Hand Therapy Pllc
South Sound Physical & Hand Therapy Pllc is an health care organization with primary practice located at 111 Market St Ne Suite 108, Olympia WA 98501-1008. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty. South Sound Physical & Hand Therapy Pllc can be contacted via phone (360) 754-7085, or through O'Kelley, Michael Shannon via phone (425) 316-8046.

Contact Information

Primary practice address
111 Market St Ne Suite 108 Olympia WA 98501-1008
Phone: (360) 754-7085
Fax: (360) 754-3671
Website:
Map and Directions
Authorized official contact:
Name: O'Kelley, Michael Shannon Master of Physical Therapy (MPT)
Phone: (425) 316-8046

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1548217631
LBN Legal business name South Sound Physical & Hand Therapy Pllc
DBA Doing business as
Authorized official O'Kelley, Michael Shannon Master of Physical Therapy (MPT)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Jun 15th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548217631 NPPES
Washington Other 0164914 DEPT. OF LABOR & INDUSTRY
Washington Other 0164914 DEPT. OF LABOR & INDUSTRY
Washington Other DA0695 DEPT. OF LABOR & INDUSTRY
Washington Other 3583413-00 DEPT. OF LABOR & INDUSTRY
Washington Other 7108MA DEPT. OF LABOR & INDUSTRY
Washington MEDICAID 9054982 DEPT. OF LABOR & INDUSTRY
Washington MEDICAID 7683600 DEPT. OF LABOR & INDUSTRY
Washington MEDICAID 7112980 DEPT. OF LABOR & INDUSTRY

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