Individual
LUIS KEVIN MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 JASMINE ST, OMAK, WA 98841-9578
(509) 826-1760
Mailing address
PO BOX 793, OMAK, WA 98841-0793
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1.70123133
WA
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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