Provider Demographics
NPI:1598957664
Name:STRANDY, JAMES ZACHARY (DPT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ZACHARY
Last Name:STRANDY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:J
Other - Middle Name:ZACHARY
Other - Last Name:STRANDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:407 E 2ND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1428
Mailing Address - Country:US
Mailing Address - Phone:509-455-6002
Mailing Address - Fax:509-747-5990
Practice Address - Street 1:407 E 2ND AVE STE 100
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1428
Practice Address - Country:US
Practice Address - Phone:509-455-6002
Practice Address - Fax:509-747-5990
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00010691225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0223897OtherWA DEPT OF LABOR & INDUSTRIES
WA8495897Medicaid
WA8495897Medicaid
WA0223897OtherWA DEPT OF LABOR & INDUSTRIES