Provider Demographics
NPI:1366515967
Name:SATHER, JAMES O (LMT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:O
Last Name:SATHER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
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Mailing Address - Street 1:12402 N DIVISION ST
Mailing Address - Street 2:PMB 267
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218
Mailing Address - Country:US
Mailing Address - Phone:509-489-3670
Mailing Address - Fax:509-489-3687
Practice Address - Street 1:4407 N DIVISION ST
Practice Address - Street 2:SUITE 501
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207
Practice Address - Country:US
Practice Address - Phone:509-489-3670
Practice Address - Fax:509-489-3687
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMA00009124225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WASATHJ01784OtherBEMERA BLUE CROSS