Provider Demographics
NPI:1396295317
Name:MATTHEWS, JULIE (PT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 W 2ND AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-4402
Mailing Address - Country:US
Mailing Address - Phone:509-381-2163
Mailing Address - Fax:509-279-2636
Practice Address - Street 1:811 W 2ND AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-4402
Practice Address - Country:US
Practice Address - Phone:509-381-2163
Practice Address - Fax:509-279-2636
Is Sole Proprietor?:No
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009789225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist