Organization
CREEKSIDE PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON RICE (BILLING AGENT)
(509) 952-3134
Entity
Organization
Contact information
Practice address
4205 CASTLEVALE RD, YAKIMA, WA 98908-5603
(509) 576-0100
(509) 576-0101
Mailing address
4205 CASTLEVALE RD, YAKIMA, WA 98908-5603
(509) 576-0100
(509) 576-0101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200730
LABOR AND INDUSTRIES
WA
01
—
106263300
OFFICE OF WORKERS COMP
WA
05
—
7123987
—
WA
01
—
800489
HARFFORD LIFE INSURANCE
WA
01
—
8940288
CRIME VICTIMS
WA
Enumeration date
02/07/2006
Last updated
07/06/2023
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