South Sound Physical & Hand Therapy Pllc
Physical Therapy Clinic/Center in Olympia, WA(View on Map)
Legal Business Name
South Sound Physical & Hand Therapy Pllc
NPI Number
1548217631
NPI Type
Organization
Enumeration Date
05/27/2006
Specialties
(Taxonomies)Code
261QP2000X
225XH1200X
225700000X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
4220 132ND ST SE
111 MARKET ST NE
City
Mill Creek
Olympia
State
WA
WA
Postal Code
98012-8999
98501-1008
Country
US
US
Telephone Number
(425) 357-9380
(360) 754-7085
Authorized Official
Name
Michael O'Kelley
Title or Position
PRESIDENT/OWNER
Telephone Number
(425) 316-8046
Identifiers
Identifier
0164914
0164914
DA0695
3583413-00
7108MA
9054982
7683600
7112980
Identifier State
WA
WA
WA
WA
WA
WA
WA
WA
Identifier Issuer
DEPT. OF LABOR & INDUSTRY
L&I CRIME VICTIMS
RAILROAD MEDICARE
OWCP
REGENCE BLUESHIELD GRP #
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/15/2015
Provider Address
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Integrated Rehabilitation Group, Pc
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