Organization Name: | INTEGRATED REHABILITATION GROU PC |
NPI Number: | 1871527820 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL SHANNON O'KELLEY (PRESIDENT/OWNER) |
Mailing Address: | 11700 Mukilteo Speedway Suite 503 Mukilteo |
State: | WA US |
Postal Code: | 982755432 |
Phone Number: | 4253499692 |
Fax Number: | 4253499694 |
NPI Enumeration Date: | 07/10/2006 |
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: | WA |
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 |