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Organization
TRI PAIN MANAGEMENT & SPORTS REHABILITATION
Active
Organization
TRI PAIN MANAGEMENT & SPORTS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY RAY IMPECOVEN JR. (MASSAGE THERAPIST)
(509) 218-9520
Entity
Organization
Contact information
Practice address
3324 S GRAND BLVD, SPOKANE, WA 99203-2619
(509) 218-9520
(509) 838-1780
Mailing address
10912 E 5TH CT, SPOKANE VALLEY, WA 99206-2851
(509) 218-9520
(509) 838-1780
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60446352
WA
Other
Enumeration date
02/01/2016
Last updated
02/02/2016
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