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NPI Code Detail

MEDICARE: KAITLYN N MINAHAN DPT

MEDICARE:   KAITLYN N MINAHAN  DPT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1396396602
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN N MINAHAN DPT
Provider Business Mailing Address
First Line : 730 N HAMILTON ST
Second Line :
City : SPOKANE
State : WA
Zip : 99202-2045
Country : US
Telephone Number : 509-458-7686
Fax Number : 509-808-2164
Provider Business Practice Location Address
First Line : 546 N JEFFERSON LN STE 301
Second Line :
City : SPOKANE
State : WA
Zip : 99201-7104
Country : US
Telephone Number : 509-474-1220
Fax Number : 509-808-2164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2019
Last Update Date : 05/04/2023

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Directions to “ KAITLYN N MINAHAN DPT” Practice Location

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