Organization
INTEGRATED REHABILITATION GROUP, PC
Active
Parent organization
INTEGRATED REHABILITATION GROUP, PC
Other names
IRG Physical Therapy - Gateway
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED REHABILITATION GROUP, PC
Authorized official
MICHAEL SHANNON OKELLEY MPT (OWNER)
(425) 316-8046
Entity
Organization
Contact information
Practice address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8994
(425) 316-8046
(425) 338-9637
Mailing address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 357-9380
(425) 357-9380
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
WA
Other
Enumeration date
04/23/2013
Last updated
12/28/2023
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