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NPI Code Detail

MEDICARE: SENSORY PATHWAY PLLC

MEDICARE: SENSORY PATHWAY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT60543459WA
2225X00000XOccupational Therapist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1427539618
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENSORY PATHWAY PLLC
Provider Business Mailing Address
First Line : 12B N UNIVERSITY RD
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99206-5205
Country : US
Telephone Number : 509-818-0086
Fax Number : 509-606-0439
Provider Business Practice Location Address
First Line : 12B N UNIVERSITY RD
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99206-5205
Country : US
Telephone Number : 509-818-0086
Fax Number : 509-606-0439
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : RYAN MAYNES
Credential : PT, DPT
Telephone Number : 509-818-0086
Provider Enumeration Date : 08/24/2018
Last Update Date : 04/03/2024

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Directions to “SENSORY PATHWAY PLLC ” Practice Location

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