Pacific Kids Pediatric Therapy, Llc in Olympia - Clinic/center
Pacific Kids Pediatric Therapy, Llc - NPI 1962556258
Pacific Kids Pediatric Therapy, Llc is a Clinic/center in Olympia, Washington. Pacific Kids Pediatric Therapy, Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Pacific Kids Pediatric Therapy, Llc is 1962556258. The last update date is 2008-07-25.
Pacific Kids Pediatric Therapy, Llc's current location address is Po Box 11009, Olympia, Washington. You can contact this provider via phone number 3603936210. The mailing address for Pacific Kids Pediatric Therapy, Llc is Po Box 11009, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Kids Pediatric Therapy, Llc |
|---|---|
| Address | Po Box 11009, Olympia, Washington |
| Phone Number | 3603936210 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OCCUPATION |
|---|---|
| Authorized Official Name | Brask Shelly |
| Credentials | OTRL |
| Telephone Number | 3603936210 |
NPI Number Detail
| NPI Number | 1962556258 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2008-07-25 |
Provider Mailing Address Detail
| Address | Po Box 11009 |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985081009 |
| Phone Number | 3603936210 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | OT00002502 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7683923 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pacific Kids Pediatric Therapy, Llc by the Centers for Medicare & Medicaid Services?
The Pacific Kids Pediatric Therapy, Llc has been issued the NPI (National Provider Identifier) 1962556258, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pacific Kids Pediatric Therapy, Llc located?
The Pacific Kids Pediatric Therapy, Llc is located at Po Box 11009, Olympia, WA 985081009.
What is the Pacific Kids Pediatric Therapy, Llc's area of specialization and corresponding taxonomy classification?
The Pacific Kids Pediatric Therapy, Llc's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Pacific Kids Pediatric Therapy, Llc receive the assignment of its 1962556258 from the Centers for Medicare & Medicaid Services?
The Pacific Kids Pediatric Therapy, Llc was issued its 1962556258 by the Centers for Medicare & Medicaid Services on 2007-01-23.
When was the information related to Pacific Kids Pediatric Therapy, Llc most recently updated or refreshed?
The details pertaining to the Pacific Kids Pediatric Therapy, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-25.
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