Healthcare Provider Details

I. General information

NPI: 1477472025
Provider Name (Legal Business Name): PAOLO-MIGUEL ALCAIDE AMOR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 E 2ND AVE STE 100
SPOKANE WA
99202-1428
US

IV. Provider business mailing address

407 E 2ND AVE STE 100
SPOKANE WA
99202-1428
US

V. Phone/Fax

Practice location:
  • Phone: 509-455-6002
  • Fax: 509-747-5990
Mailing address:
  • Phone: 509-455-6002
  • Fax: 509-747-5990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.PT.70135055
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: