Provider Demographics
NPI:1629889696
Name:PANTHER, DEBBIE D (PT)
Entity type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:D
Last Name:PANTHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S GREEN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-9506
Mailing Address - Country:US
Mailing Address - Phone:509-954-2715
Mailing Address - Fax:
Practice Address - Street 1:101 S GREEN RIDGE DR
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-9506
Practice Address - Country:US
Practice Address - Phone:509-954-2715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics