Provider Demographics
NPI:1881119071
Name:GERHART, EMILY B (LMT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:B
Last Name:GERHART
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 N DICK RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2860
Mailing Address - Country:US
Mailing Address - Phone:509-844-8608
Mailing Address - Fax:
Practice Address - Street 1:802 E 29TH AVE STE 17
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-3201
Practice Address - Country:US
Practice Address - Phone:509-844-8608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-08
Last Update Date:2017-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603356541225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist