Staley, Rance W
Staley, Rance W is an individual health care provider with primary practice located at 501 Se 172Nd Ave , Vancouver WA 98684-9542. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Staley, Rance W can be contacted via phone (360) 397-3595.Contact Information
Primary practice address
501 Se 172Nd Ave
Vancouver WA 98684-9542
Phone: (360) 397-3595
Fax: (360) 397-3620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00009231 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Washington |
Profile Details
| NPI number | 1740333947 |
|---|---|
| LBN Legal business name | Staley, Rance W |
| Credentials | DPT, CSCS, CSMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Feb 25th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740333947 | NPPES |
| Washington | MEDICAID | 8378366 |
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