Provider Demographics
NPI:1639947849
Name:RISING SUN THERAPY SERVICES
Entity Type:Organization
Organization Name:RISING SUN THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST- OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ ANAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:509-631-9931
Mailing Address - Street 1:18947 111TH AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-6495
Mailing Address - Country:US
Mailing Address - Phone:509-631-9931
Mailing Address - Fax:
Practice Address - Street 1:18947 111TH AVENUE CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-6495
Practice Address - Country:US
Practice Address - Phone:509-631-9931
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech