Provider Demographics
NPI:1003054685
Name:TACOMA REHABILITATION THERAPY INC.
Entity Type:Organization
Organization Name:TACOMA REHABILITATION THERAPY INC.
Other - Org Name:TACOMA PHYSICAL THERAPY & MASSAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-474-3995
Mailing Address - Street 1:1720 S 72ND ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-1245
Mailing Address - Country:US
Mailing Address - Phone:253-474-3995
Mailing Address - Fax:
Practice Address - Street 1:1720 S 72ND ST
Practice Address - Street 2:SUITE 103
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-1245
Practice Address - Country:US
Practice Address - Phone:253-474-3995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007638261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy