Provider Demographics
| NPI: | 1720778343 |
|---|---|
| Name: | SPOKANE MASSAGE, PLLC |
| Entity type: | Organization |
| Organization Name: | SPOKANE MASSAGE, PLLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | IAN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FINNIGAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LMT |
| Authorized Official - Phone: | 509-863-6174 |
| Mailing Address - Street 1: | 2312 N CHERRY ST STE 100 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SPOKANE VALLEY |
| Mailing Address - State: | WA |
| Mailing Address - Zip Code: | 99216-2852 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 509-863-6174 |
| Mailing Address - Fax: | 509-588-0614 |
| Practice Address - Street 1: | 2312 N CHERRY ST STE 100 |
| Practice Address - Street 2: | |
| Practice Address - City: | SPOKANE VALLEY |
| Practice Address - State: | WA |
| Practice Address - Zip Code: | 99216-2852 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 509-863-6174 |
| Practice Address - Fax: | 509-588-0614 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-05-08 |
| Last Update Date: | 2023-10-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | Group - Single Specialty |