Individual
DEREK J LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
407 E 2ND AVE, SUITE 100, SPOKANE, WA 99202-1428
(509) 455-6002
(509) 747-5990
Mailing address
407 E 2ND AVE, SUITE 100, SPOKANE, WA 99202-1428
(509) 455-6002
(509) 747-5990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60385505
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0326459
WA STATE DEPT OF LABOR & INDUSTRIES
WA
Enumeration date
04/21/2014
Last updated
03/07/2017
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