Provider Demographics
NPI:1740056456
Name:FRANCO-HEADLEY, ERIC (PT, DPT)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:FRANCO-HEADLEY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:FRANCO
Other - Last Name:VASQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1705 E METLER LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-3621
Mailing Address - Country:US
Mailing Address - Phone:208-859-7712
Mailing Address - Fax:
Practice Address - Street 1:707 S PARK ST
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:WA
Practice Address - Zip Code:99006-7025
Practice Address - Country:US
Practice Address - Phone:509-276-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61405633225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist