| Revolution Wellness And Therapy | |
|
11 W Aloha St Seattle WA 98119-3743 | |
| (206) 301-4446 | |
| Not Available |
| Full Name | Revolution Wellness And Therapy |
|---|---|
| Speciality | Rehabilitation Practitioner |
| Location | 11 W Aloha St, Seattle, Washington |
| Authorized Official Name and Position | Byrony Treser (OWNER) |
| Authorized Official Contact | 2062257710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Wellness And Therapy 2907 W Mcgraw St Seattle WA 98199-3341 Ph: (206) 225-7710 | Revolution Wellness And Therapy 11 W Aloha St Seattle WA 98119-3743 Ph: (206) 301-4446 |
| NPI Number | 1467214668 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/28/2024 |
| Certification Date | 01/28/2024 |
| Medicare PECOS PAC ID | 9335588771 |
|---|---|
| Medicare Enrollment ID | O20240417002653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467214668 | NPI | - | NPPES |
| Provider Name | Byrony Treser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013267160 PECOS PAC ID: 0244679686 Enrollment ID: I20240424002742 |
| Provider Name | Briita Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639894454 PECOS PAC ID: 3375984495 Enrollment ID: I20240507002826 |
| Provider Name | Reem Bagajati |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528827995 PECOS PAC ID: 2062853088 Enrollment ID: I20240508002344 |
| Provider Name | Adrian Perry Arnot Andrews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780074716 PECOS PAC ID: 9032551031 Enrollment ID: I20240522002018 |
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