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NPI Code Detail

MEDICARE: GREGORY DEAN PRITCHETT MA 60208918

MEDICARE:   GREGORY DEAN PRITCHETT  MA 60208918
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA 60208918WA

General Provider Information

NPI Number : 1093013120
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY DEAN PRITCHETT MA 60208918
Provider Business Mailing Address
First Line : 9507 N DIVISION ST STE B
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1555
Country : US
Telephone Number : 509-675-5571
Fax Number :
Provider Business Practice Location Address
First Line : 9507 N DIVISION ST STE B
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1555
Country : US
Telephone Number : 509-675-5571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2011
Last Update Date : 03/15/2011

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Directions to “ GREGORY DEAN PRITCHETT MA 60208918” Practice Location

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