Provider Demographics
NPI:1396000113
Name:SPETZ, JAMES (LMP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:SPETZ
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6029 S. LAWRENCE ST.
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-4156
Mailing Address - Country:US
Mailing Address - Phone:425-344-3294
Mailing Address - Fax:
Practice Address - Street 1:6029 S. LAWRENCE ST.
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-4156
Practice Address - Country:US
Practice Address - Phone:253-234-5640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60112115225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist