RUSSELL MIKAMI NPI 1851606586

NPI Information

RUSSELL MIKAMI is a specialist in Spokane Valley, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. RUSSELL MIKAMI NPI is 1851606586. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lighthouse Physical Therapy.

The provider's business location address is:

15413 E VALLEYWAY AVE BLDG B-200
SPOKANE VALLEY, WA
ZIP 99037-554
Phone: (509) 928-3443

The provider's authorized official is Gloria Mikami .
The authorized official title is Business Manager and has the following contact phone number (509) 928-3443.

The enumeration date for this NPI number is 8/18/2010 and was last updated on 8/18/2010.

Taxonomy Codes

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