Healthcare Provider Details

I. General information

NPI: 1255598157
Provider Name (Legal Business Name): INSPIRE PHYSICAL & HAND THERAPY SPOKANE INC. P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W 5TH AVE STE 308
SPOKANE WA
99204
US

IV. Provider business mailing address

4631 WHITMAN LN SE STE A
LACEY WA
98513-2250
US

V. Phone/Fax

Practice location:
  • Phone: 509-624-2353
  • Fax: 509-624-2501
Mailing address:
  • Phone: 360-338-0181
  • Fax: 360-338-0257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberOT00004029
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: BOBBY ISMAIL
Title or Position: PRESIDENT
Credential:
Phone: 209-353-1988