Jake Ryan Allstot PTA

NPI 1376748152 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1376748152
Gender Male
Enumeration Date 06/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
601 S PARK RD STE 1
SPOKANE VALLEY WA, 99212-4517, US
Phone (509) 921-7818
Fax
Business Location
715 S LINCOLN ST APT 202S
SPOKANE WA, 99204-2936, US
Phone (509) 869-8741
Fax
Toxanomy
Taxonomy Code 225200000X
License State Idaho
License Number PTA-2143
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According to our database, Mr. Jake Ryan Allstot PTA NPI is 1376748152, taxonomy code is 225200000X and license number is PTA-2143, license state is located at Idaho. Jake Ryan Allstot PTA physically located at 601 S Park Rd Ste 1, Spokane Valley WA, 99212-4517. NPI Number Jake Ryan Allstot PTA has the Individual type.

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1376748152 NPI number is provided on an as is basis without warranty of any kind. 1376748152 is maintained by the National Plan & Provider Enumeration System. The contents of Jake Ryan Allstot PTA are for informational purposes only.