Individual
KELLY NICOLE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
325 S UNIVERSITY RD, SPOKANE VALLEY, WA 99206-5227
(509) 921-9798
(509) 921-9774
Mailing address
325 S UNIVERSITY RD, SPOKANE VALLEY, WA 99206-5227
(509) 921-9798
(509) 921-9774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9034
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
912046547
TAX ID
WA
Enumeration date
01/06/2007
Last updated
06/03/2010
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