Provider Demographics
NPI:1659468148
Name:HYATT, DENIS DEAN (PT)
Entity Type:Individual
Prefix:
First Name:DENIS
Middle Name:DEAN
Last Name:HYATT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 W GARLAND AVE STE B
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-2619
Mailing Address - Country:US
Mailing Address - Phone:509-325-2992
Mailing Address - Fax:509-326-5112
Practice Address - Street 1:1403 W GARLAND AVE STE B
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-2619
Practice Address - Country:US
Practice Address - Phone:509-325-2992
Practice Address - Fax:509-326-5112
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003242208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation