NPI 1114073194

Sports Reaction Center INC

Organisation Specialist Bellevue, WA

Practice location

Address: 1750 112th Ave NE Suite D-154, Bellevue, WA 98004-3752
Phone: (425) 643-9778
Fax: (425) 643-6448

Authorised official

Name: Neil Chasan
Title: President
Phone: (425) 643-9778

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence PT00002855 (WA)

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Registry record

NPI: 1114073194
Entity type: Organization
NPI issued: 25 Jan 2007
Record last updated: 19 Jun 2008

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.