Olympic Sports and Spine Rehabilitation, P.s.

NPI #1144685306 in Puyallup, Washington

Provider Information

NPI Number: 1144685306
Entity Type: Organization
Organization Name: Olympic Sports and Spine Rehabilitation, P.s.
Primary Specialty: Physical Therapist
Enumeration Date: Dec 15, 2015
Last Updated: Dec 23, 2015

Practice Location

Address: 17520 MERIDIAN E
Address 2: SUITE F
City: Puyallup
State: Washington
ZIP Code: 98375-6265
Phone: (253) 864-7595

Authorized Official

Name: BRIAN THACKER, PT
Title: VICE PRESIDENT
Phone: (253) 581-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Occupational Therapist	225X00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Physical Therapist	225100000X	Primary

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