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General NPI Number Information
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NPI Number | 1700959749
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Entity Type | Organization
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Legal Business Name | RAINBOW REHAB,PLLC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8907 GRAVELLY LAKE DR SW STE A
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City | LAKEWOOD
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State | WA
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Zip | 98499
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Country | US
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Telephone | 253-589-9600
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Fax | 253-589-9610
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Provider Business Mailing Address
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Address Line | 8907 GRAVELLY LAKE DR SW STE A
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City | LAKEWOOD
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State | WA
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Zip | 98499
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Country | US
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Telephone | 253-589-9600
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Fax | 253-589-9610
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARSHA K HILLER
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Credential | PT
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Telephone | 253-589-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT00005135
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License Number State | WA
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