Provider Demographics
NPI:1982792016
Name:RAINIER REHABILITATION ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:RAINIER REHABILITATION ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-286-2710
Mailing Address - Street 1:8012 112TH STREET CT E
Mailing Address - Street 2:# 120
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-7856
Mailing Address - Country:US
Mailing Address - Phone:253-286-2710
Mailing Address - Fax:253-286-2719
Practice Address - Street 1:8012 112TH ST CT E
Practice Address - Street 2:# 120
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-7856
Practice Address - Country:US
Practice Address - Phone:253-286-2710
Practice Address - Fax:253-286-2719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602055728208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA135918OtherLABOR AND INDUSTRIES
WA479445001OtherGROUP HEALTH
193479400OtherFEDERAL WORKERS COMP
WA8927715OtherCRIME VICTIMS
WA7102072Medicaid
WARA6740OtherREGENCE
193479400OtherFEDERAL WORKERS COMP