Provider Demographics
NPI:1093395360
Name:REHAB EXPERTS AND CONSULTING LLC/ PHYSIO GROUP LLC
Entity Type:Organization
Organization Name:REHAB EXPERTS AND CONSULTING LLC/ PHYSIO GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:RICKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD , OTR/L
Authorized Official - Phone:425-879-3403
Mailing Address - Street 1:17526 163RD PL SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-9131
Mailing Address - Country:US
Mailing Address - Phone:425-318-0551
Mailing Address - Fax:
Practice Address - Street 1:17526 163RD PLACE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-9131
Practice Address - Country:US
Practice Address - Phone:425-318-0551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REHAB EXPERTS AND CONSULTING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomicsGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty