Provider Demographics
NPI:1205006558
Name:ASSINK, ALEXIS ANN (LMP)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:ANN
Last Name:ASSINK
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 E LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2037
Mailing Address - Country:US
Mailing Address - Phone:509-475-9303
Mailing Address - Fax:
Practice Address - Street 1:15701 E SPRAGUE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99037-5019
Practice Address - Country:US
Practice Address - Phone:509-926-9355
Practice Address - Fax:509-921-8027
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023161225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist