Provider Demographics
NPI:1962619171
Name:HOLMAN, VALERIE L (VALERIE HOLMAN, LMP)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:L
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:VALERIE HOLMAN, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7878 N WILDING DR APT 29
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-6603
Mailing Address - Country:US
Mailing Address - Phone:509-489-6679
Mailing Address - Fax:509-489-6679
Practice Address - Street 1:1724 W CARLISLE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-3616
Practice Address - Country:US
Practice Address - Phone:509-343-4263
Practice Address - Fax:509-489-6679
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4840225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA67907OtherLABOR & INDUSTRIES