# BRAINSTORM REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brainstorm Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881827392
- **Authorized official:** BETHANY LEIGHANN DAVIS M.A. CCC-SLP (OWNER)
- **Authorized official phone:** (509) 833-1983

## Contact information

- **Practice address:** 109 E 3RD AVE STE 1, ELLENSBURG, WA 98926-3357
- **Practice address phone:** (509) 833-1983
- **Mailing address:** PO BOX 32, ELLENSBURG, WA 98926-1909
- **Mailing address phone:** (509) 833-1983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | LL00003578 | WA | Yes |

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 08/15/2019