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NPI Code Detail

MEDICARE: U DISTRICT PHYSICAL THERAPY AND INSTITUTE OF SPORTS PERFORMANCE

MEDICARE: U DISTRICT PHYSICAL THERAPY AND INSTITUTE OF SPORTS PERFORMANCE
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 TherapistPT00008697WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10186202OTHERWALABOR AND INDUSTRIES
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992845630
Entity Type Code : Organization
Provider Name (Legal Business Name) : U DISTRICT PHYSICAL THERAPY AND INSTITUTE OF SPORTS PERFORMANCE
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 : 509-458-6611
Provider Business Practice Location 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 : 509-458-6611
Authorized Official
Title or Position : OWNER
Name : JEFF HART
Credential : MPT
Telephone Number : 509-458-7686
Provider Enumeration Date : 02/08/2007
Last Update Date : 07/10/2008

Similar Medicare Providers

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Practice Location Address:
730 N HAMILTON ST
SPOKANE, WA
99202-2045
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1679565014 — CATHERINE ANDREA LEE MD
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1598874430 — DR. PATRICK Z PEARCE M.D.
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1366501645 — AMBER L NELSON MPT
Practice Location Address:
730 N HAMILTON ST
SPOKANE, WA
99202-2045
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Practice Fax: 509-458-6611
1932310091 — RINA CLARK LMP
Practice Location Address:
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1417156779 — LAUREN HAYWARD DELAND LMP
Practice Location Address:
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Directions to “U DISTRICT PHYSICAL THERAPY AND INSTITUTE OF SPORTS PERFORMANCE ” Practice Location

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