Olympic Sports And Spine Rehabilitation, P.S.

LBN: Olympic Sports And Spine Rehabilitation, P.S.
Olympic Sports And Spine Rehabilitation, P.S. is an health care organization with primary practice located at 17520 Meridian E Suite F, Puyallup WA 98375-6265. 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, P.S. can be contacted via phone (253) 864-7595, or through Thacker, Brian via phone (253) 581-5200.

Contact Information

Primary practice address
17520 Meridian E Suite F Puyallup WA 98375-6265
Phone: (253) 864-7595
Fax: (253) 864-0457
Website:
Map and Directions
Authorized official contact:
Name: Thacker, Brian Physical Therapist (PT)
Phone: (253) 581-5200

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1144685306
LBN Legal business name Olympic Sports And Spine Rehabilitation, P.S.
DBA Doing business as
Authorized official Thacker, Brian Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2015
Last updated Dec 23rd, 2015 - about 11 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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