Healthcare Provider Details

I. General information

NPI: 1790082345
Provider Name (Legal Business Name): IAN CHRISTOPHER FINNIGAN LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: IAIN FINNIGAN LMT

II. Dates (important events)

Enumeration Date: 02/17/2011
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2312 N CHERRY ST STE 100
SPOKANE VALLEY WA
99216-2852
US

IV. Provider business mailing address

2312 N CHERRY ST STE 100
SPOKANE VALLEY WA
99216-2852
US

V. Phone/Fax

Practice location:
  • Phone: 509-863-6174
  • Fax: 509-588-0614
Mailing address:
  • Phone: 509-863-6174
  • Fax: 509-588-0614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberMA60138697
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: