Healthcare Provider Details

I. General information

NPI: 1578931200
Provider Name (Legal Business Name): BRITTANI URANN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2015
Last Update Date: 10/12/2021
Certification Date: 10/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S JEFFERSON ST STE 304
SPOKANE WA
99204-3144
US

IV. Provider business mailing address

400 S JEFFERSON ST STE 304
SPOKANE WA
99204-3144
US

V. Phone/Fax

Practice location:
  • Phone: 509-270-6862
  • Fax:
Mailing address:
  • Phone: 509-270-6862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60605111
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: