Individual
DANIELLE N LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3010 S SOUTHEAST BLVD STE G, SPOKANE, WA 99223-3542
(509) 532-0500
(509) 532-8810
Mailing address
3010 S SOUTHEAST BLVD STE G, SPOKANE, WA 99223-3542
(509) 532-0500
(509) 532-8810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161047544
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P161047544
WA DOH LICENSE
WA
Enumeration date
07/22/2025
Last updated
07/22/2025
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