Organization
EMPIRE STAR VENTURES LLC
Active
Other names
Sports Therapy And Rehabilitation Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN NORMAN SCHAEFER PT (ADMINISTRATIVE DIRECTOR)
(509) 467-1244
Entity
Organization
Contact information
Practice address
12410 E SINTO AVE, SUITE 203, SPOKANE VALLEY, WA 99216-2199
(509) 927-7827
(509) 928-7556
Mailing address
12410 E SINTO AVE, SUITE 203, SPOKANE VALLEY, WA 99216-2199
(509) 927-7827
(509) 928-7556
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181044
LABOR & INDUSTRIES
WA
05
—
7123342
—
WA
Enumeration date
10/25/2006
Last updated
08/18/2008
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