Individual
DYSTON R MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
725 N STANLEY ST STE D, MEDICAL LAKE, WA 99022-8939
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60664044
WA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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