JACK RAYMOND ALBERT
Individual Provider (NPI-1)
Active
Specialist/Technologist, Athletic Trainer
Provider Information
- NPI Number
1790458495- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 15909 E MARIETTA AVE STE 110, SPOKANE VALLEY, WA, 992161888
- Phone
- (509) 936-7466
Specialties & Taxonomies
Physical Therapist
License: WA #PT.PT.70004362
Specialist/Technologist, Athletic Trainer
Primary License: WA #ATHL.A1.70008337
All Addresses
MAILING
207 PHYSICAL EDUCATION BUILDING EASTERN WASHINGTON UNIVERSITY
CHENEY, WA, 990042476