Integrated Rehabilitation Group Pc in Everett - Dietitian, Registered
Integrated Rehabilitation Group Pc - NPI 1750312542
Integrated Rehabilitation Group Pc is a Dietitian, Registered in Everett, Washington. Integrated Rehabilitation Group Pc practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Integrated Rehabilitation Group Pc is 1750312542. The last update date is 2015-12-16.
Integrated Rehabilitation Group Pc's current location address is 1519 132nd St Se, Everett, Washington. You can contact this provider via phone number 4253379556 and fax number 4253579186. The mailing address for Integrated Rehabilitation Group Pc is 1519 132nd St Se, Everett, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Integrated Rehabilitation Group Pc |
|---|---|
| Address | 1519 132nd St Se, Everett, Washington |
| Phone Number | 4253379556 |
| Fax Number | 4253579186 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | O'Kelley Shannon Michael |
| Credentials | PT |
| Telephone Number | 4253579380 |
NPI Number Detail
| NPI Number | 1750312542 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2015-12-16 |
Provider Mailing Address Detail
| Address | 1519 132nd St Se |
|---|---|
| City | Everett |
| State | Washington (WA) |
| Post Code | 982087203 |
| Phone Number | 4253379556 |
| Fax Number | 4253579186 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
|
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3791726-05 | WA | OWCP | |
| 9055039 | WA | -- | |
| 148721 | WA | DEPT. OF LABOR & INDUSTRY | |
| 7083322 | WA | -- | |
| 8928199 | WA | L&I CRIME VICTIMS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Integrated Rehabilitation Group Pc by the Centers for Medicare & Medicaid Services?
The Integrated Rehabilitation Group Pc has been issued the NPI (National Provider Identifier) 1750312542 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Integrated Rehabilitation Group Pc located?
The Integrated Rehabilitation Group Pc is located at 1519 132Nd St Se, Everett, WA 982087203.
What is Integrated Rehabilitation Group Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Integrated Rehabilitation Group Pc is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.
On what date was the 1750312542 assigned to Integrated Rehabilitation Group Pc?
The Integrated Rehabilitation Group Pc was issued its 1750312542 on 2006-07-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Integrated Rehabilitation Group Pc most recently updated or revised?
The information pertaining to Integrated Rehabilitation Group Pc, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-16.
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