Healthcare Provider Details

I. General information

NPI: 1932589215
Provider Name (Legal Business Name): YOU TURN PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2015
Last Update Date: 06/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 S UNIVERSITY RD STE 202
SPOKANE VALLEY WA
99206-6164
US

IV. Provider business mailing address

325 S UNIVERSITY RD STE 202
SPOKANE VALLEY WA
99206-6164
US

V. Phone/Fax

Practice location:
  • Phone: 509-563-5023
  • Fax: 509-534-9385
Mailing address:
  • Phone: 509-563-5023
  • Fax: 509-534-9385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALEX PAGOTELIS
Title or Position: OWNER
Credential: PT
Phone: 509-563-5023