Healthcare Provider Details

I. General information

NPI: 1871419333
Provider Name (Legal Business Name): EMBER DPT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19116 E TERRAPIN LN
OTIS ORCHARDS WA
99027-8211
US

IV. Provider business mailing address

PO BOX 14653
SPOKANE VALLEY WA
99214-0653
US

V. Phone/Fax

Practice location:
  • Phone: 602-540-6583
  • Fax:
Mailing address:
  • Phone: 602-540-6583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. STEVEN MICHAEL CORDOVANA
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 602-540-6583