Provider Demographics
NPI:1568763332
Name:ARNHOLTZ, DEANN (LMP)
Entity Type:Individual
Prefix:MS
First Name:DEANN
Middle Name:
Last Name:ARNHOLTZ
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 1:1211 W 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3221
Mailing Address - Country:US
Mailing Address - Phone:509-263-0049
Mailing Address - Fax:
Practice Address - Street 1:1001 W 25TH AVE STE 2
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-1234
Practice Address - Country:US
Practice Address - Phone:509-263-0049
Practice Address - Fax:509-624-0602
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60184338225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist