Provider Demographics
NPI:1992872972
Name:CAINE, HARVEY (LMP, LMT, CC)
Entity type:Individual
Prefix:MR
First Name:HARVEY
Middle Name:
Last Name:CAINE
Suffix:
Gender:M
Credentials:LMP, LMT, CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3123 E 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4312
Mailing Address - Country:US
Mailing Address - Phone:509-270-1234
Mailing Address - Fax:509-448-3933
Practice Address - Street 1:906 S COWLEY ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1229
Practice Address - Country:US
Practice Address - Phone:509-270-1234
Practice Address - Fax:509-448-3933
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA000126929225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist