Provider Demographics
NPI:1558012781
Name:MACHUGA, URIAH (DPT)
Entity Type:Individual
Prefix:
First Name:URIAH
Middle Name:
Last Name:MACHUGA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 W ARDMORE DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218
Mailing Address - Country:US
Mailing Address - Phone:509-610-8410
Mailing Address - Fax:
Practice Address - Street 1:9631 N NEVADA ST STE LL2
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1134
Practice Address - Country:US
Practice Address - Phone:509-483-0889
Practice Address - Fax:509-483-0974
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61181972225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist