# SUMMIT PACIFIC REHABILITATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174765523
- **Authorized official:** AMY MANNING (PTA)
- **Authorized official phone:** (360) 740-5192

## Contact information

- **Practice address:** 1509 HARRISON AVE, CENTRALIA, WA 98531-4568
- **Practice address phone:** (360) 736-0112
- **Mailing address:** 970 5TH AVE NW, SUITE 7, ISSAQUAH, WA 98027-2469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 04/01/2009