Provider Demographics
NPI:1568432060
Name:FINCH, ROBERT JUSTIN (MS, PT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:JUSTIN
Last Name:FINCH
Suffix:
Gender:M
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 CASTLEVALE RD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-5603
Mailing Address - Country:US
Mailing Address - Phone:509-576-0100
Mailing Address - Fax:509-576-0101
Practice Address - Street 1:4205 CASTLEVALE RD
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-5603
Practice Address - Country:US
Practice Address - Phone:509-576-0100
Practice Address - Fax:509-576-0101
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006271225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8350613Medicaid
WA5117730OtherCIGNA HEALTHCARE
WA8933278OtherCRIME VICTIMS
WA7831594OtherAETNA
WAFI7138OtherREGENCE
WA0185907OtherLABOR AND INDUSTRIES
WA5117730OtherCIGNA HEALTHCARE
WA8933278OtherCRIME VICTIMS