Olympic Sports and Spine Rehabilitation Ps

NPI #1558310375 in Puyallup, Washington

Provider Information

NPI Number: 1558310375
Entity Type: Organization
Organization Name: Olympic Sports and Spine Rehabilitation Ps
Primary Specialty: Physical Therapist
Enumeration Date: May 9, 2006
Last Updated: Feb 3, 2016

Practice Location

Address: 8011 112TH STREET CT E
City: Puyallup
State: Washington
ZIP Code: 98373-7814
Phone: (253) 848-0662

Authorized Official

Name: MR. VERN J ESSENBERG JR., PT
Title: CHIEF OPERATIONS OFFICER
Phone: (253) 581-5200

Specialties & Taxonomy Codes

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

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