Healthcare Provider Details
I. General information
NPI: 1255246450
Provider Name (Legal Business Name): REZONANCE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
522 W RIVERSIDE AVE STE N
SPOKANE WA
99201-0581
US
IV. Provider business mailing address
522 W RIVERSIDE AVE STE N
SPOKANE WA
99201-0581
US
V. Phone/Fax
- Phone: 509-795-1958
- Fax:
- Phone: 509-795-1958
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHRISTOPHER
ADAM
PALACIOS
Title or Position: OWNER
Credential: PA-C
Phone: 509-795-1958