Provider Demographics
NPI:1588485569
Name:VGM PLLC
Entity type:Organization
Organization Name:VGM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:URIAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MACHUGA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:509-601-8410
Mailing Address - Street 1:11402 N NEWPORT HWY STE C
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1661
Mailing Address - Country:US
Mailing Address - Phone:509-464-1813
Mailing Address - Fax:
Practice Address - Street 1:11402 N NEWPORT HWY STE C
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1661
Practice Address - Country:US
Practice Address - Phone:509-464-1813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty