Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | PT-256 | ID |
Y | 2251X0800X | Physical Therapist - Orthopedic | PT 00009738 | WA |
NPI | 1083941264 |
---|---|
Provider Name | Mr. Steven Wesley Heinrich |
First Address | Spokane, WA 99201-2804 |
Second Address | Spokane, WA 99201-2804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2009 |
Last Update Date | 19/02/2010 |