Healthcare Provider Details

I. General information

NPI: 1619099728
Provider Name (Legal Business Name): IN MOTION PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 02/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 E WOODLAND LN
SPOKANE WA
99212-1688
US

IV. Provider business mailing address

7720 E WOODLAND LN
SPOKANE WA
99212-1688
US

V. Phone/Fax

Practice location:
  • Phone: 509-220-7871
  • Fax: 509-465-9198
Mailing address:
  • Phone: 509-220-7871
  • Fax: 509-465-9198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT2702
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT5463
License Number StateWA

VIII. Authorized Official

Name: MS. DEBORAH LYNN ROMINE
Title or Position: OWNER
Credential: P.T.
Phone: 509-220-7871