Provider Demographics
NPI:1922309566
Name:FORQUER, ALEANA DANIELLE (LMP)
Entity Type:Individual
Prefix:MISS
First Name:ALEANA
Middle Name:DANIELLE
Last Name:FORQUER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:ALEANA
Other - Middle Name:DANIELLE
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:9720 N NEVADA
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-3412
Mailing Address - Country:US
Mailing Address - Phone:509-464-2273
Mailing Address - Fax:509-242-1854
Practice Address - Street 1:9720 N NEVADA
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218
Practice Address - Country:US
Practice Address - Phone:509-464-2243
Practice Address - Fax:509-242-1854
Is Sole Proprietor?:No
Enumeration Date:2010-11-13
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60190944225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist