Organization
JERRY M JOHNSON ETAL PTR FOUR SEASONS PHYSICAL THERAPY
Active
Other names
Four Seasons Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY MICHAEL JOHNSON PT (ADMINISTRATIVE DIRECTOR)
(509) 327-1578
Entity
Organization
Contact information
Practice address
1111 W WELLESLEY AVE, SPOKANE, WA 99205-1274
(509) 327-1578
(509) 327-1596
Mailing address
1111 W WELLESLEY AVE, SPOKANE, WA 99205-1274
(509) 327-1578
(509) 327-1596
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
601871376
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7116312
—
WA
Enumeration date
12/01/2005
Last updated
12/31/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us