Provider Demographics
NPI:1144360447
Name:KLINE, MARCIA K (LMP)
Entity type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:K
Last Name:KLINE
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:MRS
Other - First Name:MARCIA
Other - Middle Name:K
Other - Last Name:KAMPSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMP
Mailing Address - Street 1:1528 E OSTRANDER AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-4434
Mailing Address - Country:US
Mailing Address - Phone:509-230-3314
Mailing Address - Fax:
Practice Address - Street 1:4241 S CHENEY SPOKANE RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99224-9691
Practice Address - Country:US
Practice Address - Phone:509-230-3314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2014-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00009117225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist