Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRENT WESLEY WAHLBERG JR., RPT
Active Sole ProprietorMR. BRENT WESLEY WAHLBERG JR., RPT is a Physical Therapy Assistant healthcare provider located in CLARKSTON, Washington. NPI 1225133663 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CLARKSTON, WA
Registration Details
- NPI Number
- 1225133663
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2006 (19.879594291087 yrs)
- Last Updated
- Feb 11, 2008
- Licenses
-
PT00005041 (WA)PT396 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
725 6TH ST STE 101CLARKSTON, WA, 994032006Browse WA providers · Browse ZIP 99403
- Phone
- 5097588510
- Fax
- 5097519149
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CLARKSTON, WA
| Name | Credential | NPI |
|---|---|---|
| MR. TERRY LEROY GUPTILL | PT,ATC | 1841470515 |
| MS. BROOKSIE K LARSON | — | 1033395322 |
| DAREN FLOLO | MPT | 1609106483 |
| CHRISTIE FREDERICKSEN | — | 1720423965 |
| MR. DONALD DARYL FREDERICKSEN | MPT | 1093140386 |
| TAYLOR GORRELL | — | 1609419480 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.