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Organization
THREE RIVERS PHYSICAL THERAPY PC
Active
Organization
THREE RIVERS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROB EARLE KENNELL MPT, OCA (OWNER)
(509) 737-0333
Entity
Organization
Contact information
Practice address
2620 S WILLIAMS PL, SUITE 110, KENNEWICK, WA 99338-1867
(509) 737-0333
(509) 737-0355
Mailing address
2620 S WILLIAMS PL, SUITE 110, KENNEWICK, WA 99338-1867
(509) 737-0333
(509) 737-0355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007246
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7133929
—
WA
Enumeration date
12/01/2006
Last updated
05/03/2017
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