Healthcare Provider Details

I. General information

NPI: 1720778343
Provider Name (Legal Business Name): SPOKANE MASSAGE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2023
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 Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. IAN FINNIGAN
Title or Position: OWNER
Credential: LMT
Phone: 509-863-6174