Provider Demographics
NPI:1346396819
Name:ADAMS SMITH, REBECCA L (LMP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:ADAMS SMITH
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 1:430 WEST 2ND AVE
Mailing Address - Street 2:#101
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0282
Mailing Address - Country:US
Mailing Address - Phone:509-481-5841
Mailing Address - Fax:509-727-0620
Practice Address - Street 1:430 WEST 2ND AVE
Practice Address - Street 2:#101
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0282
Practice Address - Country:US
Practice Address - Phone:509-481-5841
Practice Address - Fax:509-727-0620
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023336225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist