Doctor Name: | SARAH KAY RUDOLPH |
NPI Number: | 1265635379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00023000 |
Business Practice Address: | 14201 E Sprague Ave Spokane Valley, WA - 992162108 |
Business Phone Number: | 5099274848 |
Business Fax Number: | 5098910441 |
Mailing Address: | Po Box 1032, SPOKANE VALLEY |
State: | WA |
Postal Code: | 990371032 |
Phone Number: | 9512182226 |
Fax Number: | 5098910441 |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 01/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00023000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |