Provider Demographics
NPI:1588640619
Name:ASPINWALL, PATRICIA S (PT)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:S
Last Name:ASPINWALL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4711 N CENTER RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99212-1779
Mailing Address - Country:US
Mailing Address - Phone:509-922-7434
Mailing Address - Fax:
Practice Address - Street 1:1111 W WELLESLEY
Practice Address - Street 2:FOUR SEASONS PHYSICAL THERAPY
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99025-1274
Practice Address - Country:US
Practice Address - Phone:509-327-1578
Practice Address - Fax:509-327-1596
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002462225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7040918Medicaid
WA7040918Medicaid