Healthcare Provider Details

I. General information

NPI: 1629990262
Provider Name (Legal Business Name): ANASTASIA E THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10511 W AERO RD STE 1
SPOKANE WA
99224-7035
US

IV. Provider business mailing address

1111 E WESTVIEW CT STE A
SPOKANE WA
99218-1376
US

V. Phone/Fax

Practice location:
  • Phone: 509-413-2140
  • Fax:
Mailing address:
  • Phone: 509-413-2140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: