Provider Demographics
NPI:1427302371
Name:RANIA, TOSHIRO (LMP)
Entity type:Individual
Prefix:
First Name:TOSHIRO
Middle Name:
Last Name:RANIA
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 W OLYMPIC PL
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-5958
Mailing Address - Country:US
Mailing Address - Phone:442-278-7664
Mailing Address - Fax:
Practice Address - Street 1:546 N JEFFERSON LN STE 303
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-7104
Practice Address - Country:US
Practice Address - Phone:509-290-6406
Practice Address - Fax:509-392-4530
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60277288225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist