Individual
ERIN THIEFAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17121 E 8TH AVE, SPOKANE VALLEY, WA 99016-8556
(509) 924-4017
Mailing address
6182 W LOFTY RIDGE ST, RATHDRUM, ID 83858-8599
(509) 280-6116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160069364
WA
Other
Enumeration date
01/05/2014
Last updated
01/05/2014
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