Provider Demographics
NPI:1477755023
Name:BICKEL, DOROTHY CHRISTINE (LMP)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:CHRISTINE
Last Name:BICKEL
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 1:3307 S TEKOA ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-2639
Mailing Address - Country:US
Mailing Address - Phone:509-624-5546
Mailing Address - Fax:
Practice Address - Street 1:3307 S TEKOA ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2639
Practice Address - Country:US
Practice Address - Phone:509-624-5546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00016802225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist