Healthcare Provider Details

I. General information

NPI: 1427268507
Provider Name (Legal Business Name): BOBBI L. TOMPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BOBBI L. TOMPKINS L.M.T.

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9419 N NEWPORT HWY
SPOKANE WA
99218-1243
US

IV. Provider business mailing address

3782 GROUSE CREEK RD
LOON LAKE WA
99148-9770
US

V. Phone/Fax

Practice location:
  • Phone: 509-467-8176
  • Fax:
Mailing address:
  • Phone: 509-233-9727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberMA00005623
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: