Provider Demographics
NPI:1699862904
Name:JOSTEN, SHARON M (MPT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:M
Last Name:JOSTEN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5503 W HAYDEN LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-5309
Mailing Address - Country:US
Mailing Address - Phone:509-434-8831
Mailing Address - Fax:
Practice Address - Street 1:309 E FARWELL RD STE 104
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-8206
Practice Address - Country:US
Practice Address - Phone:509-465-2139
Practice Address - Fax:509-465-2548
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA000100182251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW17215CMedicare Oscar/Certification
CAGT602YMedicare PIN