Organization
PHYSICAL THERAPY ASSOCIATES
Active
Organization
PHYSICAL THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RISSE (OWNER/PHYSICAL THERAPIST)
(509) 456-6917
Entity
Organization
Contact information
Practice address
3020 S GRAND BLVD, SPOKANE, WA 99203-2560
(509) 456-6917
Mailing address
3020 S GRAND BLVD, SPOKANE, WA 99203-2560
(509) 456-6917
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
19320000X
WA
261QP2000X
Physical Therapy Clinic/Center
208100000X
WA
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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