Provider Demographics
NPI:1215067178
Name:TURNER PHYSICAL THERAPY, P.C.
Entity type:Organization
Organization Name:TURNER PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:V
Authorized Official - Credentials:PT
Authorized Official - Phone:509-220-6763
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00005815225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7115140Medicaid
WA7115140Medicaid