Bolton, Resa
Bolton, Resa is an individual health care provider with primary practice located at 2884 Griffin Ave Suite A, Enumclaw WA 98022-2318. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bolton, Resa can be contacted via phone (360) 825-6686.Contact Information
Primary practice address
2884 Griffin Ave Suite A
Enumclaw WA 98022-2318
Phone: (360) 825-6686
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00008124 | Washington |
Profile Details
| NPI number | 1033148010 |
|---|---|
| LBN Legal business name | Bolton, Resa |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1033148010 | NPPES |
| Washington | MEDICAID | 7031578 |
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