| Organization Name: | NORTH SPOKANE PHYSICAL & SPORTS THERAPY LLC |
| NPI Number: | 1073669412 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG PETERSON (OWNER PHYSICAL THERAPIST) |
| Mailing Address: | 203 E Dalke Ave Spokane |
| State: | WA US |
| Postal Code: | 992088112 |
| Phone Number: | 5094838228 |
| Fax Number: | 5094838338 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 03/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00008140 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |