Therasport Northwest, INC
NPI #1245405224 in Spokane, Washington
Provider Information
- NPI Number
- 1245405224
- Entity Type
- Organization
- Organization Name
- Therasport Northwest, INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 29, 2008
- Last Updated
- Apr 29, 2008
Practice Location
- Address
- 124 E ROWAN AVE
- Address 2
- SUITE 202
- City
- Spokane
- State
- Washington
- ZIP Code
- 99207-1214
- Phone
- (509) 484-0095
Authorized Official
- Name
- MR. DEAN DAVID EVANS JR., PT
- Title
- OWNER/PRESIDENT
- Phone
- (509) 484-0095
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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