Provider Demographics
NPI:1346379070
Name:LINDAMAN, BRIANNA R (LMP)
Entity Type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:R
Last Name:LINDAMAN
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 1:323 W FIFTEETH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203
Mailing Address - Country:US
Mailing Address - Phone:509-981-0355
Mailing Address - Fax:509-838-0002
Practice Address - Street 1:323 W FIFTEETH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203
Practice Address - Country:US
Practice Address - Phone:509-981-0355
Practice Address - Fax:509-838-0002
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013025225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist