Provider Demographics
NPI:1255779732
Name:RMTS ZILLAH LLC
Entity type:Organization
Organization Name:RMTS ZILLAH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNINE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:406-531-5918
Mailing Address - Street 1:513 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:ZILLAH
Mailing Address - State:WA
Mailing Address - Zip Code:98953-9432
Mailing Address - Country:US
Mailing Address - Phone:509-829-5230
Mailing Address - Fax:509-829-5269
Practice Address - Street 1:513 1ST AVE
Practice Address - Street 2:
Practice Address - City:ZILLAH
Practice Address - State:WA
Practice Address - Zip Code:98953-9432
Practice Address - Country:US
Practice Address - Phone:509-829-5230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RMTS TOPPENISH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-06
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Single Specialty