Organization
TRI-CITIES REGENERATIVE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN DAVID KIELY MS, LMHC (ADMINISTRATOR)
(509) 885-2844
Entity
Organization
Contact information
Practice address
8905 W GAGE BLVD STE 100, KENNEWICK, WA 99336-7191
(509) 579-4300
Mailing address
8905 W GAGE BLVD STE 100, KENNEWICK, WA 99336-7191
(509) 579-4300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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