Provider Demographics
NPI:1952527806
Name:CASCADE SUMMIT PHYSICAL THERAPY INC PS
Entity Type:Organization
Organization Name:CASCADE SUMMIT PHYSICAL THERAPY INC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRADEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:509-249-8704
Mailing Address - Street 1:3901 CREEKSIDE LOOP
Mailing Address - Street 2:STE 102
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902
Mailing Address - Country:US
Mailing Address - Phone:509-248-6113
Mailing Address - Fax:509-457-8941
Practice Address - Street 1:2807 W WASHINGTON AVE
Practice Address - Street 2:UNIT C
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98903-1159
Practice Address - Country:US
Practice Address - Phone:509-452-2948
Practice Address - Fax:509-453-5948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty