Renea Rochelle Atwood, PTA
Individual provider Active NPI Physical Therapy Assistant · Olympia, WA
NPI 1023494200 · NPPES record last updated Aug 10, 2015
Key facts
- NPI
- 1023494200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- P1 60029161 (WA)
- Practice address
- 3901 Capital Mall Dr SW
Olympia, WA 98502-8654 - Phone
- (360) 709-6621
- NPI assigned
- Aug 10, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1 60029161 | WA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | P1 60029161 | WA | Yes |
Addresses
Primary practice location
3901 Capital Mall Dr SW
Olympia, WA 98502-8654
Mailing address
16724 Violet Prairie Rd SE
Tenino, WA 98589-9735
Phone (360) 508-6690
Other providers in Olympia, WA
- Assured Surgical Assisting LLC
- Shannon Atherton
- Atlas Sleep Diagnostics LLC
- Megan Corinne Aton
- Attuned Family Therapy PLLC
- Danette H Aubertin
- Rebecca Rose Augsburger
- Sarah K Augustine
- Rogelio Aular
- Aurora Integrative Care
All providers in Olympia, WA · Physical Therapy Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.