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NPI Code Detail

MEDICARE: RALLY PHYSICAL THERAPY P S

MEDICARE: RALLY PHYSICAL THERAPY P S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistWA

General Provider Information

NPI Number : 1306860903
Entity Type Code : Organization
Provider Name (Legal Business Name) : RALLY PHYSICAL THERAPY P S
Provider Business Mailing Address
First Line : 201 160TH ST S STE 301
Second Line :
City : SPANAWAY
State : WA
Zip : 98387-8508
Country : US
Telephone Number : 253-531-4100
Fax Number : 253-531-3795
Provider Business Practice Location Address
First Line : 201 160TH ST S STE 301
Second Line :
City : SPANAWAY
State : WA
Zip : 98387-8508
Country : US
Telephone Number : 253-531-4100
Fax Number : 253-531-3795
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. CHRISTIE EILEEN CONNER
Credential :
Telephone Number : 253-531-4100
Provider Enumeration Date : 07/27/2006
Last Update Date : 12/28/2010

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Directions to “RALLY PHYSICAL THERAPY P S ” Practice Location

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