Organization
PT ELITE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE KATHRYN TONKINSON P.T. (DIRECTOR)
(360) 253-8285
Entity
Organization
Contact information
Practice address
222 NE PARK PLAZA DR, SUITE 120, VANCOUVER, WA 98684-5895
(360) 253-8285
Mailing address
222 NE PARK PLAZA DR, SUITE 120, VANCOUVER, WA 98684-5895
(360) 253-8285
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
7335
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0236747
WASHINGTON LABOR DEPT
WA
01
—
508460000
REGENCE BCBS
OR
05
—
7142904
—
WA
01
—
O9I009
REGENCE BCBS
WA
Enumeration date
06/11/2008
Last updated
07/29/2008
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