OrganizationActive
Physical Rehabilitation & Wellness Center, PLLC
NPI 1316287402 · Non-Pharmacy Dispensing Site · Everett, WA
Provider details
- NPI number
- 1316287402
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Physical Rehabilitation & Wellness Center, PLLC
- Organization subpart
- Yes
- Authorized official
- Mohammad Shegeft, Medical Director(310) 474-9809
Specialties & taxonomies
Suppliers
Practice location
919 128th St Sw
Everett, WA 98204-6315
Phone: (310) 474-9809
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2013-02-26
- Last updated
- 2015-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.