MEDICARE: PINE TREE REHAB AND EDUCATIONAL SERVICES PLLC

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1528918158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINE TREE REHAB AND EDUCATIONAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	16318 8TH AVE E
Second Line	:
City	:	SPANAWAY
State	:	WA
Zip	:	98387-7050
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16318 8TH AVE E
Second Line	:
City	:	SPANAWAY
State	:	WA
Zip	:	98387
Country	:	US
Telephone Number	:	253-256-3023
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THIMBERLEY N MORGAN
Credential	:	CCC-SLP
Telephone Number	:	253-256-3023

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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