Organization
LIGHTHOUSE PHYSICAL THERAPY AND SPORTS MEDICINE
Active
Other names
Lighthouse PT & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TESSA CHRISTINE SHAFER (OFFICE MANAGER)
(509) 928-3443
Entity
Organization
Contact information
Practice address
18915 E APPLEWAY AVE A200, GREENACRES, WA 99016-0000
(509) 928-3443
(509) 891-5591
Mailing address
18915 E APPLEWAY AVE A200, GREENACRES, WA 99016-0000
(509) 928-3443
(509) 891-5591
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
06/13/2022
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