Organization
INTEGRATED REHABILITATION GROUP, PC
Active
Parent organization
INTEGRATED REHABILITATION GROUP, PC
Other names
IRG Physical Therapy - Silver Lake
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
10207 19TH AVE SE, EVERETT, WA 98208-4257
(425) 337-3166
(425) 338-4596
Mailing address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 357-9380
(425) 357-9382
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130583
DEPT. OF LABOR & INDUSTRY
WA
01
—
3791726-07
OWCP
WA
05
—
7083322
—
WA
01
—
8928202
L&I CRIME VICTIMS
WA
05
—
9055039
—
WA
Enumeration date
06/21/2006
Last updated
12/28/2023
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