Provider Demographics
NPI:1174202394
Name:ARC PHYSICAL THERAPY & WELLNESS LLC
Entity type:Organization
Organization Name:ARC PHYSICAL THERAPY & WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THADDAEUS
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLAGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:509-480-8041
Mailing Address - Street 1:2614 W NOB HILL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-7506
Mailing Address - Country:US
Mailing Address - Phone:509-540-3244
Mailing Address - Fax:509-219-6002
Practice Address - Street 1:2614 W NOB HILL BLVD STE A
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-7506
Practice Address - Country:US
Practice Address - Phone:509-540-3244
Practice Address - Fax:509-219-6002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty