Provider Demographics
NPI:1295037562
Name:KREIGER, JILL MILIA (LMP)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:MILIA
Last Name:KREIGER
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 1:15701 E SPRAGUE AVE STE C
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99037-5019
Mailing Address - Country:US
Mailing Address - Phone:509-599-6580
Mailing Address - Fax:
Practice Address - Street 1:15701 E SPRAGUE AVE STE C
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99037-5019
Practice Address - Country:US
Practice Address - Phone:509-599-6580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 19629225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist