Provider Demographics
NPI:1982931879
Name:BROWN, JANINE ANN (LMP, CSI)
Entity type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMP, CSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6145
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99217-0902
Mailing Address - Country:US
Mailing Address - Phone:509-999-3898
Mailing Address - Fax:
Practice Address - Street 1:111 E LINCOLN RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-6901
Practice Address - Country:US
Practice Address - Phone:509-999-3898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60116064225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist