Provider Demographics
NPI:1225579121
Name:FEILEACAN, LLC
Entity Type:Organization
Organization Name:FEILEACAN, LLC
Other - Org Name:RIDGEFIELD PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LEHNER WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:360-719-1833
Mailing Address - Street 1:900 NE 139TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2519
Mailing Address - Country:US
Mailing Address - Phone:360-719-1833
Mailing Address - Fax:
Practice Address - Street 1:2 S 56TH PL STE 100
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-3426
Practice Address - Country:US
Practice Address - Phone:360-887-7147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00005998261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy