Organization
THERAPY MANAGEMENT SERVICES, PLLC
Active
Other names
Snoqualmie North Bend Physical Therapy PLLC, North Bend Physical Therapy, RET Physical Therapy & Healthcare Specialists, Snoqualmie Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DWAN DIAZ (CC)
(813) 560-8157
Entity
Organization
Contact information
Practice address
400 MAIN AVE S, NORTH BEND, WA 98045-8215
(425) 888-1156
(425) 888-6167
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(813) 560-8157
(425) 452-0704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
WA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102924
—
WA
Enumeration date
12/14/2006
Last updated
11/30/2022
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