Healthcare Provider Details

I. General information

NPI: 1336430248
Provider Name (Legal Business Name): EMILY PLEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2011
Last Update Date: 04/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3209 E 57TH AVE STE F
SPOKANE WA
99223-7040
US

IV. Provider business mailing address

3908 E 23RD AVE
SPOKANE WA
99223-5501
US

V. Phone/Fax

Practice location:
  • Phone: 509-448-9398
  • Fax:
Mailing address:
  • Phone: 509-869-4216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberMA 60212960
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: