Organization Name: | INTEGRATED REHABILITATION GROUP PC |
NPI Number: | 1750312542 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL SHANNON O'KELLEY (PRESIDENT/OWNER) |
Mailing Address: | 1519 132nd St Se Suite A Everett |
State: | WA US |
Postal Code: | 982087203 |
Phone Number: | 4253379556 |
Fax Number: | 4253579186 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 12/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |