Healthcare Provider Details

I. General information

NPI: 1417144007
Provider Name (Legal Business Name): CASCADE REHABILITATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 12/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 168TH ST NE PILCHUCK PLAZA, BUILDING A102,
ARLINGTON WA
98223-8462
US

IV. Provider business mailing address

11805 N CREEK PKWY S SUITE 113
BOTHELL WA
98011-8803
US

V. Phone/Fax

Practice location:
  • Phone: 360-658-8100
  • Fax: 360-658-0508
Mailing address:
  • Phone: 425-806-5700
  • Fax: 425-806-5701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MISS DEBBIE BAKER
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 425-806-5700