Provider Demographics
NPI:1457012395
Name:LARKIN, JAMES E (LMT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:LARKIN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37510 N ELK CHATTAROY RD
Mailing Address - Street 2:
Mailing Address - City:ELK
Mailing Address - State:WA
Mailing Address - Zip Code:99009-9603
Mailing Address - Country:US
Mailing Address - Phone:509-216-5477
Mailing Address - Fax:
Practice Address - Street 1:9708 N NEVADA ST STE 205
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-6012
Practice Address - Country:US
Practice Address - Phone:509-466-0226
Practice Address - Fax:844-273-3042
Is Sole Proprietor?:No
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60065271225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist