| |
403 W Stanley St, Granite Falls, WA 98252-8631 | |
(360) 691-4835 | |
(360) 691-2545 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 403 W Stanley St, Granite Falls, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699716332 | NPI | - | NPPES |
0159241 | Other | WA | DEPT. OF LABOR & INDUSTRY |
462797002 | Other | WA | GROUP HEALTH MEDICARE |
8928201 | Other | WA | L&I CRIME VICTIMS |
3791726-04 | Other | WA | OWCP |
7083322 | Medicaid | WA | |
462797005 | Other | WA | GROUP HEALTH NON-MEDICARE |
9055039 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
4220 132nd St Se, Suite 101, Mill Creek, WA 98012-8999 Ph: (425) 316-8046 | 403 W Stanley St, Granite Falls, WA 98252-8631 Ph: (360) 691-4835 |