Provider Demographics
NPI:1477831964
Name:ROCKWOOD CLINIC PS
Entity Type:Organization
Organization Name:ROCKWOOD CLINIC PS
Other - Org Name:ROCKWOOD CLINIC PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SWAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-778-8076
Mailing Address - Street 1:PO BOX 689022
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-9022
Mailing Address - Country:US
Mailing Address - Phone:615-778-8528
Mailing Address - Fax:615-628-6877
Practice Address - Street 1:122 E MONTGOMERY
Practice Address - Street 2:STE D
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99209
Practice Address - Country:US
Practice Address - Phone:509-342-3845
Practice Address - Fax:509-624-0403
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCKWOOD CLINIC PHYSICAL THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-01
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies