Healthcare Provider Details

I. General information

NPI: 1598053084
Provider Name (Legal Business Name): AMY MARIE HITE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY MARIE LAYTON DPT

II. Dates (important events)

Enumeration Date: 07/18/2011
Last Update Date: 11/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E 3RD AVE SUITE B
SPOKANE WA
99202-1426
US

IV. Provider business mailing address

PO BOX 3649
SPOKANE WA
99220-3649
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-2531
  • Fax: 509-755-6580
Mailing address:
  • Phone: 509-838-2531
  • Fax: 509-755-6580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT60219220
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT60219220
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: