Individual
JOHN MICHAEL SCHRUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,PT
Contact information
Practice address
2204 E 29TH AVE, SUITE 202, SPOKANE, WA 99203-3961
(509) 536-1761
(509) 536-1763
Mailing address
2204 E 29TH AVE, SUITE 202, SPOKANE, WA 99203-3961
(509) 536-1761
(509) 536-1763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000822
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146129146129
PREMERA
WA
01
—
60362
LABOR AND INDUSTRIES
WA
05
—
7032246
—
WA
01
—
911486101 0007
CIGNA
WA
Enumeration date
02/21/2007
Last updated
07/08/2007
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