Organization
INTEGRATED REHABILITATION GROUP PC
Active
Other names
Edmonds Physical Therapy & Sports Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHANNON OKELLEY (MPT/PRESIDENT)
(425) 316-8046
Entity
Organization
Contact information
Practice address
7315 212TH ST SW, SUITE 104, EDMONDS, WA 98026-7610
(425) 774-3226
(425) 670-1406
Mailing address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 316-8046
(425) 338-9637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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