Organization
INTEGRATED REHABILITATION GROUP INC
Active
Other names
Redmond Ridge Physical & Hand Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHANNON O'KELLEY MPT (OWNER/PHYSICAL THERAPIST)
(425) 337-9556
Entity
Organization
Contact information
Practice address
22500 NE MARKETPLACE DR, SUITE 204, REDMOND, WA 98053-2033
(425) 836-1034
(425) 836-1037
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 330-0633
(425) 338-9637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
WA
225XH1200X
Hand Occupational Therapist
—
WA
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191251
DEPT. OF LABOR & INDUSTRY
WA
01
—
1182780006
DME
WA
05
—
7083322
—
WA
05
—
7682230
—
WA
01
—
8930484
L&I CRIME VICTIMS
WA
05
—
9055039
—
WA
Enumeration date
07/10/2006
Last updated
10/04/2007
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