1205971256 NPI number — APPLAUSE HAND THERAPY LLC

Table of content: (NPI 1205971256)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205971256 NPI number — APPLAUSE HAND THERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APPLAUSE HAND THERAPY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205971256
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2607 S SOUTHEAST BLVD
Provider Second Line Business Mailing Address:
SUITE B 150
Provider Business Mailing Address City Name:
SPOKANE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99223-4942
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-532-8114
Provider Business Mailing Address Fax Number:
509-534-4334

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2607 S SOUTHEAST BLVD
Provider Second Line Business Practice Location Address:
SUITE B 150
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99223-4942
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-532-8114
Provider Business Practice Location Address Fax Number:
509-534-4334
Provider Enumeration Date:
02/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PAULL
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
K
Authorized Official Title or Position:
SOLE OWNER
Authorized Official Telephone Number:
509-532-8114

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X , with the licence number:  OT 00000834 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7683840 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0211473 . This is a "STATE LABOR & INDUSTRY" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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