Provider Demographics
NPI:1427146786
Name:MORPHIS, ILENE (PT)
Entity type:Individual
Prefix:
First Name:ILENE
Middle Name:
Last Name:MORPHIS
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 1:108 N WASHINGTON ST
Mailing Address - Street 2:SUITE 418
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-5003
Mailing Address - Country:US
Mailing Address - Phone:509-294-9283
Mailing Address - Fax:
Practice Address - Street 1:108 N WASHINGTON ST
Practice Address - Street 2:SUITE 418
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-5003
Practice Address - Country:US
Practice Address - Phone:509-294-9283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT265912251P0200X
WAPT601184662251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics