NPI 1376835744 · live from the CMS NPI Registry
Brighton Rehabilitation LLC
Physical Therapist in Raymond, WA. National Provider Identifier 1376835744, active.
NPI record
| NPI | 1376835744 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 223 Duryea St, Raymond, WA 98577 |
| Practice phone | 360-942-2424 |
| Mailing address | 206 N 2100 W, Salt Lake City, UT 84116 |
| Enumerated | May 4, 2011 |
| Last updated | November 16, 2015 |
| Authorized official | Charles Kirton, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.