Individual
VERA JANELLE AXTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15407 E MISSION AVE STE 300, SPOKANE VALLEY, WA 99037-8527
(509) 928-3111
(509) 928-7662
Mailing address
5398A HAPPY HILL RD, TUMTUM, WA 99034-9702
(509) 953-6223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160293901
WA
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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