Healthcare Provider Details

I. General information

NPI: 1275496366
Provider Name (Legal Business Name): SENIOR STRIDES PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 W VIEWMONT RD
SPOKANE WA
99224-8264
US

IV. Provider business mailing address

810 W VIEWMONT RD
SPOKANE WA
99224-8264
US

V. Phone/Fax

Practice location:
  • Phone: 509-251-3923
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHAVONNE LANIER
Title or Position: OWNER
Credential: PT, DPT
Phone: 509-251-3923