Healthcare Provider Details
I. General information
NPI: 1497437297
Provider Name (Legal Business Name): OSTEOPATHY FOR CHILDREN AND FAMILY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/02/2023
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2204 E 29TH AVE STE 208
SPOKANE WA
99203-3961
US
IV. Provider business mailing address
2204 E 29TH AVE STE 208
SPOKANE WA
99203-3961
US
V. Phone/Fax
- Phone: 509-474-1601
- Fax: 301-357-8480
- Phone: 509-474-1601
- Fax: 301-357-8480
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 204D00000X |
| Taxonomy | Neuromusculoskeletal Medicine & OMM Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINA
MICHELLE
STEELE
Title or Position: DO
Credential:
Phone: 509-474-1601