Individual
JACK RAYMOND ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15909 E MARIETTA AVE STE 110, SPOKANE VALLEY, WA 99216-1888
(509) 936-7466
Mailing address
207 PHYSICAL EDUCATION BUILDING, EASTERN WASHINGTON UNIVERSITY, CHENEY, WA 99004-2476
(509) 359-6399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT.PT.70004362
WA
2255A2300X
Athletic Trainer
Primary
ATHL.A1.70008337
WA
Other
Enumeration date
07/28/2021
Last updated
06/05/2025
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