Lighthouse Physical Therapy and Sports Medicine
NPI #1598364143 in Greenacres, Washington
Provider Information
- NPI Number
- 1598364143
- Entity Type
- Organization
- Organization Name
- Lighthouse Physical Therapy and Sports Medicine
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Oct 23, 2020
- Last Updated
- Jun 13, 2022
Practice Location
- Address
- 18915 E APPLEWAY AVE A200
- City
- Greenacres
- State
- Washington
- ZIP Code
- 99016-0000
- Phone
- (509) 928-3443
Authorized Official
- Name
- TESSA CHRISTINE SHAFER
- Title
- OFFICE MANAGER
- Phone
- (509) 928-3443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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Individual Providers
| Provider Name | |
|---|---|
| DR. Ralph G Laraiso, D.O. | |
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| Robert Gregg Billow, D.O. | |
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Organizations
| Provider Name | |
|---|---|
| Puget Sound Rehabilitation Medicine |
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