Healthcare Provider Details

I. General information

NPI: 1710840137
Provider Name (Legal Business Name): ITZEL PEREZ MOLINA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 W FRANCIS AVE
SPOKANE WA
99205-6512
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 509-385-0900
  • Fax:
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 NumberPT61684247
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: