Provider Demographics
NPI:1942202908
Name:TURNER, DAVID ANDERSON V (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ANDERSON
Last Name:TURNER
Suffix:V
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 1:1217 S JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3933
Mailing Address - Country:US
Mailing Address - Phone:509-220-6763
Mailing Address - Fax:
Practice Address - Street 1:1217 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-3933
Practice Address - Country:US
Practice Address - Phone:509-220-6763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-02
Last Update Date:2007-07-18
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
WAPT00005815225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7115140Medicaid
WAAB34445Medicare ID - Type Unspecified