Provider Demographics
NPI:1922126937
Name:NEW HEIGHTS INTEGRATIVE THERAPY, INC.
Entity Type:Organization
Organization Name:NEW HEIGHTS INTEGRATIVE THERAPY, INC.
Other - Org Name:NEW HEIGHTS PHYSICAL THERAPY, PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:POE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-236-3108
Mailing Address - Street 1:1700 BROADWAY ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-3455
Mailing Address - Country:US
Mailing Address - Phone:360-737-3346
Mailing Address - Fax:
Practice Address - Street 1:1700 BROADWAY ST
Practice Address - Street 2:SUITE 101
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3455
Practice Address - Country:US
Practice Address - Phone:360-737-3346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty