Healthcare Provider Details

I. General information

NPI: 1699862904
Provider Name (Legal Business Name): SHARON M JOSTEN MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E FARWELL RD STE 104
SPOKANE WA
99218-8206
US

IV. Provider business mailing address

5503 W HAYDEN LN
SPOKANE WA
99208-5309
US

V. Phone/Fax

Practice location:
  • Phone: 509-465-2139
  • Fax: 509-465-2548
Mailing address:
  • Phone: 509-434-8831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number00010018
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: