Provider Demographics
NPI:1518540525
Name:RISE PERFORMANCE & HEALTH LLC
Entity Type:Organization
Organization Name:RISE PERFORMANCE & HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:IRWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, OCS, FAAOMPT
Authorized Official - Phone:509-969-2324
Mailing Address - Street 1:2034 MINOR AVE E APT 102
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3533
Mailing Address - Country:US
Mailing Address - Phone:509-969-2324
Mailing Address - Fax:
Practice Address - Street 1:2034 MINOR AVE E APT 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3533
Practice Address - Country:US
Practice Address - Phone:509-969-2324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty