Whalio Doctors

NPI 1023449006

Heritage Building LLC

Organisation Physical Medicine & Rehabilitation Physician Olympia, WA

Practice location

Address
4001 Harrison Ave NW STE 102, Olympia, WA 98502-5084
Phone
(360) 956-3627
Fax
(360) 350-1445

Authorised official

Name
Richard Louis Faiola
Title
President
Phone
(360) 704-2362

Registered specialties (4)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X
Chiropractor
Chiropractic Providers Taxonomy 111N00000X Licence CH00034866 (WA)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence AC00000244 (WA)
Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA60043686 (WA)

Registry record

NPI
1023449006
Entity type
Organization
NPI issued
2 Dec 2013
Record last updated
1 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.