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
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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