Lystad, Theresa G

Lystad, Theresa G is an individual health care provider with primary practice located at 12905 E Sprague Ave , Spokane Valley WA 99216-0731. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Lystad, Theresa G can be contacted via phone (509) 922-0303.

Contact Information

Primary practice address
12905 E Sprague Ave Spokane Valley WA 99216-0731
Phone: (509) 922-0303
Fax: (509) 922-0657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00010270 Washington

Profile Details

NPI number 1669526372
LBN Legal business name Lystad, Theresa G
Credentials L.M.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669526372 NPPES
Washington Other 8942606 CRIME VICTIMS ID #
Washington Other 5339L4 CRIME VICTIMS ID #
Washington Other 0173324 CRIME VICTIMS ID #

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