| Pro-active Sportsmed Pllc | |
| 
					111 Tumwater Blvd Se Ste 113, Tumwater, WA 98501-6422  | |
| (360) 528-3300 | |
| (360) 528-8162 | 
| Full Name | Pro-active Sportsmed Pllc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist - Orthopedic | 
| Location | 111 Tumwater Blvd Se Ste 113, Tumwater, Washington | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1538380639 | NPI | - | NPPES | 
| 7112923 | Medicaid | WA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pro-active Sportsmed Pllc 111 Tumwater Blvd Se Ste 113, Tumwater, WA 98501-6422 Ph: (360) 528-3300  | Pro-active Sportsmed Pllc 111 Tumwater Blvd Se Ste 113, Tumwater, WA 98501-6422 Ph: (360) 528-3300  | 
Jordan Agtarap,  Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5765 Littlerock Rd Sw Ste 107, Tumwater, WA 98512 Phone: 564-999-4146  | |
Blossom Pediatric Therapy Pnw, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Tumwater Blvd Se Ste C210, Tumwater, WA 98501 Phone: 360-389-3706  | |
Integrated Rehab Group Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6981 Littlerock Rd Sw, Suite 105, Tumwater, WA 98512 Phone: 360-352-7352 Fax: 360-352-7680  | |
Ms. Sheena M Daniel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4833 Tumwater Valley Dr Se Ste 150, Tumwater, WA 98501 Phone: 360-493-4160 Fax: 360-493-4163  | |
Michael E O'brien, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Dennis St Sw, Suite A, Tumwater, WA 98501 Phone: 360-704-3300 Fax: 360-704-7676  | |
Lalani Shelton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lake Park Dr Sw, Tumwater, WA 98512 Phone: 360-790-0546  | |
William Walter Linnenkohl, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2755 Mottman Rd Sw, Tumwater, WA 98512 Phone: 360-352-5077 Fax: 360-352-5022  |