Basic Information
| Provider Information | |||||||||
| NPI: | 1659468148 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HYATT | ||||||||
| FirstName: | DENIS | ||||||||
| MiddleName: | DEAN | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1403 W GARLAND AVE STE B | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992052619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5093252992 | ||||||||
| FaxNumber: | 5093265112 | ||||||||
| Practice Location | |||||||||
| Address1: | 1403 W GARLAND AVE STE B | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992052619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5093252992 | ||||||||
| FaxNumber: | 5093265112 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2006 | ||||||||
| LastUpdateDate: | 01/15/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | PT00003242 | WA | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.