Provider Demographics
NPI:1902006505
Name:ANDERSON, VALERIE KIM (DPT)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:KIM
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:KIM
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1895 N WILLAMETTE RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99016-5060
Mailing Address - Country:US
Mailing Address - Phone:509-389-1272
Mailing Address - Fax:509-413-1673
Practice Address - Street 1:12012 E MISSION AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4887
Practice Address - Country:US
Practice Address - Phone:509-413-1630
Practice Address - Fax:509-413-1673
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00010113225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist