Provider Demographics
NPI:1669259495
Name:SUSAN MADELAINE WARTO
Entity type:Organization
Organization Name:SUSAN MADELAINE WARTO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSIE
Authorized Official - Middle Name:MADELAINE
Authorized Official - Last Name:WARTO
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:509-724-7083
Mailing Address - Street 1:2607 S SOUTHEAST BLVD, SUSIE WARTO
Mailing Address - Street 2:STE B214
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223
Mailing Address - Country:US
Mailing Address - Phone:509-724-7083
Mailing Address - Fax:509-471-1085
Practice Address - Street 1:2607 S SOUTHEAST BLVD, THE MASSAGE STUDIO
Practice Address - Street 2:STE B214
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223
Practice Address - Country:US
Practice Address - Phone:509-315-9191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172M00000XOther Service ProvidersMechanotherapistGroup - Single Specialty