Organization
INTEGRATED REHABILITATION GROUP INC
Active
Other names
IRG at Everett Sports
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHANNON O'KELLEY MPT (PRESIDENT)
(425) 337-9556
Entity
Organization
Contact information
Practice address
2000 HEWITT AVE, #115, EVERETT, WA 98201-3600
(425) 252-3908
(425) 252-7940
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 337-9556
(425) 357-9186
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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