Provider Demographics
NPI:1801098900
Name:ACHIEVE PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:ACHIEVE PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:509-533-9003
Mailing Address - Street 1:122 N RAYMOND RD
Mailing Address - Street 2:STE 20
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6832
Mailing Address - Country:US
Mailing Address - Phone:509-926-1770
Mailing Address - Fax:509-228-9542
Practice Address - Street 1:3010 S SOUTHEAST BLVD
Practice Address - Street 2:STE 7
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-3541
Practice Address - Country:US
Practice Address - Phone:509-533-9003
Practice Address - Fax:509-533-9010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2007-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty