Therasport Northwest, Inc
LBN: Therasport Northwest, Inc
Therasport Northwest, Inc is an health care organization with primary practice located at 124 E Rowan Ave Suite 202, Spokane WA 99207-1214. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Therasport Northwest, Inc can be contacted via phone (509) 484-0095, or through Evans, Dean David via phone (509) 484-0095.
Contact Information
Primary practice address
124 E Rowan Ave Suite 202
Spokane WA 99207-1214
Phone: (509) 484-0095
Fax: (509) 484-0477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00002905 | Washington |
Profile Details
| NPI number | 1245405224 |
|---|---|
| LBN Legal business name | Therasport Northwest, Inc |
| DBA Doing business as | |
| Authorized official | Evans, Dean David Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Apr 29th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245405224 | NPPES |
| Washington | MEDICAID | 7100431 | |
| Washington | Other | 17438 | |
| Washington | Other | 1104041458 |
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