Provider Demographics
NPI:1245944024
Name:SKAMANIA PHYSICAL THERAPY
Entity type:Organization
Organization Name:SKAMANIA PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:512-203-5906
Mailing Address - Street 1:PO BOX 1498
Mailing Address - Street 2:
Mailing Address - City:STEVENSON
Mailing Address - State:WA
Mailing Address - Zip Code:98648-1498
Mailing Address - Country:US
Mailing Address - Phone:509-427-3600
Mailing Address - Fax:509-427-3601
Practice Address - Street 1:138 NW 2ND ST
Practice Address - Street 2:
Practice Address - City:STEVENSON
Practice Address - State:WA
Practice Address - Zip Code:98648-4225
Practice Address - Country:US
Practice Address - Phone:509-427-3600
Practice Address - Fax:509-427-3601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-06
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty