Individual
DAVID DANIEL SANDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
802 E 29TH AVE STE 1, SPOKANE, WA 99203-3201
(509) 475-8989
Mailing address
724 E 31ST AVE, SPOKANE, WA 99203-3105
(509) 475-8989
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018242
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00018242
MASSAGE LICENSE
WA
Enumeration date
02/02/2007
Last updated
01/25/2022
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