Provider Demographics
NPI:1326362542
Name:TRSR, PLLC
Entity Type:Organization
Organization Name:TRSR, PLLC
Other - Org Name:THREE RIVERS SPINAL REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HONCHO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:PERKES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-967-2225
Mailing Address - Street 1:PO BOX 4665
Mailing Address - Street 2:
Mailing Address - City:WEST RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99353-4011
Mailing Address - Country:US
Mailing Address - Phone:509-967-2225
Mailing Address - Fax:509-967-2900
Practice Address - Street 1:4791 W VAN GIESEN ST
Practice Address - Street 2:SUITE B
Practice Address - City:WEST RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99353-5085
Practice Address - Country:US
Practice Address - Phone:509-967-2225
Practice Address - Fax:509-967-2900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034719111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty