Individual
LISA MACHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
13607 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0809
(509) 921-9798
(509) 921-9774
Mailing address
13607 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0809
(509) 921-9798
(509) 921-9774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009694
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT00009694
STATE LICENSE
WA
Enumeration date
04/24/2008
Last updated
04/24/2008
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