Provider Demographics
NPI:1639541030
Name:GARNER, ANNYA KATHERINE (LMP)
Entity Type:Individual
Prefix:MS
First Name:ANNYA
Middle Name:KATHERINE
Last Name:GARNER
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 1:12425 N RUBY RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1971
Mailing Address - Country:US
Mailing Address - Phone:509-496-2752
Mailing Address - Fax:
Practice Address - Street 1:12425 N RUBY RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1971
Practice Address - Country:US
Practice Address - Phone:509-496-2752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-24
Last Update Date:2015-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist