Basic Information
Provider Information
NPI: 1801830559
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAPIER
FirstName: TANYA
MiddleName: KINNEY
NamePrefix: DR.
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24251 E DESMET RD
Address2:  
City: LIBERTY LAKE
State: WA
PostalCode: 990197609
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 711 S COWLEY ST
Address2: ST. LUKE'S REHAB
City: SPOKANE
State: WA
PostalCode: 99202
CountryCode: US
TelephoneNumber: 5094736000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/15/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251C2600XPT00009753WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistCardiopulmonary

No ID Information.


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