Healthcare Provider Details

I. General information

NPI: 1750631834
Provider Name (Legal Business Name): CAREY LIAM HINTZE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 W 5TH AVE
SPOKANE WA
99204-2901
US

IV. Provider business mailing address

911 W 5TH AVE
SPOKANE WA
99204-2901
US

V. Phone/Fax

Practice location:
  • Phone: 509-623-0460
  • Fax:
Mailing address:
  • Phone: 509-623-0460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT39963
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT60436636
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11017
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: