Twin Rivers Physical Therapy, Llc
LBN: Twin Rivers Physical Therapy, Llc
Twin Rivers Physical Therapy, Llc is an health care organization with primary practice located at 725 6Th St Ste 101, Clarkston WA 99403-2006. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Twin Rivers Physical Therapy, Llc can be contacted via phone (509) 758-8510, or through Wahlberg, Brent W via phone (509) 758-8510.
Contact Information
Primary practice address
725 6Th St Ste 101
Clarkston WA 99403-2006
Phone: (509) 758-8510
Fax: (509) 751-9149
Website:
Authorized official contact:
Name: Wahlberg, Brent W Registered Physical Therapist (RPT)
Phone: (509) 758-8510
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00005041 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT396 | Idaho |
Profile Details
| NPI number | 1003982745 |
|---|---|
| LBN Legal business name | Twin Rivers Physical Therapy, Llc |
| DBA Doing business as | |
| Authorized official | Wahlberg, Brent W Registered Physical Therapist (RPT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Dec 17th, 2009 - about 15 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 | 1003982745 | NPPES |
| Washington | MEDICAID | 7018757 | |
| Washington | Other | 000010007644 | |
| Washington | Other | 131422 |
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