Individual
PARKER EDWARD RIECKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6601 220TH ST SW, STE #1, MOUNTLAKE TERRACE, WA 98043-2166
(425) 775-7274
Mailing address
6601 220TH ST SW, STE #1, MOUNTLAKE TERRACE, WA 98043-2166
(425) 775-7274
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60126268
WA
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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