Provider Demographics
NPI:1346399482
Name:SUZUKI, GENE M (PT)
Entity Type:Individual
Prefix:MR
First Name:GENE
Middle Name:M
Last Name:SUZUKI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W 9TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2501
Mailing Address - Country:US
Mailing Address - Phone:509-326-8878
Mailing Address - Fax:509-326-1157
Practice Address - Street 1:315 W 9TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2501
Practice Address - Country:US
Practice Address - Phone:509-326-8878
Practice Address - Fax:509-326-1157
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002678225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0202241OtherL & I PIN
WA5495PEOtherASURIS PIN
WA8856149Medicare PIN