Organization
INTEGRATED REHABILITATION GROUP, PC
Active
Parent organization
INTEGRATED REHABILITATION GROUP, PC
Other names
IRG Physical & Hand Therapy - Evergreen
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED REHABILITATION GROUP, PC
Authorized official
MICHAEL SHANNON O'KELLEY MPT (PRESIDENT/OWNER)
(425) 316-8046
Entity
Organization
Contact information
Practice address
5029 EVERGREEN WAY, EVERETT, WA 98203-2826
(425) 252-1642
(425) 258-1824
Mailing address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 316-8046
(425) 338-9637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
WA
225XH1200X
Hand Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201974
LABOR & INDUSTRY
WA
05
—
7083322
—
WA
Enumeration date
07/10/2006
Last updated
12/28/2023
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