Provider Demographics
NPI:1629003454
Name:DESSERT, ANNE M
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:M
Last Name:DESSERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 W EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-4909
Mailing Address - Country:US
Mailing Address - Phone:509-327-8105
Mailing Address - Fax:
Practice Address - Street 1:711 S. COWLEY
Practice Address - Street 2:ST LUKES REHAB
Practice Address - City:SPOAKNE
Practice Address - State:WA
Practice Address - Zip Code:99202
Practice Address - Country:US
Practice Address - Phone:509-473-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant