Basic Information
Provider Information
NPI: 1992117444
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILTON
FirstName: KARI
MiddleName: BUDD
NamePrefix:  
NameSuffix:  
Credential: D.P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BUDD
OtherFirstName: KARI
OtherMiddleName: L
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: DPT
OtherLastNameType: 1
Mailing Information
Address1: 407 E 2ND AVE STE 100
Address2:  
City: SPOKANE
State: WA
PostalCode: 992021428
CountryCode: US
TelephoneNumber: 5094556002
FaxNumber:  
Practice Location
Address1: 9911 N NEVADA ST STE A
Address2:  
City: SPOKANE
State: WA
PostalCode: 992181298
CountryCode: US
TelephoneNumber: 5093271578
FaxNumber: 5093271596
Other Information
ProviderEnumerationDate: 06/02/2014
LastUpdateDate: 11/04/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT60384441WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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