Provider Demographics
NPI:1093884298
Name:MAYS, PAULA K (MA PT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:K
Last Name:MAYS
Suffix:
Gender:F
Credentials:MA PT
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Mailing Address - Street 1:1403 S GRAND BLVD
Mailing Address - Street 2:SUITE #102-S
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-2263
Mailing Address - Country:US
Mailing Address - Phone:509-624-4200
Mailing Address - Fax:509-624-2817
Practice Address - Street 1:1403 S GRAND BLVD
Practice Address - Street 2:SUITE #102-S
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2263
Practice Address - Country:US
Practice Address - Phone:509-624-4200
Practice Address - Fax:509-624-2817
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPT00002796225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8362758Medicaid