Provider Demographics
NPI:1013189752
Name:RIOLLANO, KARLA K (DC)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:K
Last Name:RIOLLANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 E FARWELL RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-8202
Mailing Address - Country:US
Mailing Address - Phone:509-465-8400
Mailing Address - Fax:509-465-8500
Practice Address - Street 1:605 E HOLLAND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2225
Practice Address - Country:US
Practice Address - Phone:509-465-8400
Practice Address - Fax:509-465-8500
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor