Individual
MR. JAKE RYAN ALLSTOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
601 S PARK RD STE 1, SPOKANE VALLEY, WA 99212-4517
(509) 921-7818
Mailing address
715 S LINCOLN ST APT 202S, SPOKANE, WA 99204-2936
(509) 869-8741
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-2143
ID
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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