Healthcare Provider Details

I. General information

NPI: 1477480333
Provider Name (Legal Business Name): MATTHEW PFEIFER LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 W 4TH AVE LOWR LEVEL200
SPOKANE WA
99201-5629
US

IV. Provider business mailing address

1029 W 18TH AVE
SPOKANE WA
99203-1130
US

V. Phone/Fax

Practice location:
  • Phone: 509-624-5855
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number61461008
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: