Provider Demographics
NPI:1285767707
Name:PAUL DRUMHELLER PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:PAUL DRUMHELLER PHYSICAL THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, PT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUMHELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MPT, OCS, CSCS
Authorized Official - Phone:253-274-1884
Mailing Address - Street 1:1 N TACOMA AVE
Mailing Address - Street 2:STE 103
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-3131
Mailing Address - Country:US
Mailing Address - Phone:253-274-1884
Mailing Address - Fax:253-274-1885
Practice Address - Street 1:1 N TACOMA AVE
Practice Address - Street 2:STE 103
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-3131
Practice Address - Country:US
Practice Address - Phone:253-274-1884
Practice Address - Fax:253-274-1885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0177195OtherL&I
0177195OtherL&I