Provider Demographics
NPI:1083941264
Name:HEINRICH, STEVEN WESLEY (PT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:WESLEY
Last Name:HEINRICH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 N. ASH STREET
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2804
Mailing Address - Country:US
Mailing Address - Phone:509-326-2300
Mailing Address - Fax:509-326-8635
Practice Address - Street 1:1322 NORTH ASH STREET
Practice Address - Street 2:WALGREENS / OPTION CARE HOME CARE
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2804
Practice Address - Country:US
Practice Address - Phone:509-326-2300
Practice Address - Fax:509-326-8635
Is Sole Proprietor?:No
Enumeration Date:2009-11-10
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT 000097382251X0800X
IDPT-2562251S0007X
WAPT00009738174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No174H00000XOther Service ProvidersHealth Educator