Liberty Lake Family & Sports Medicine, P.s.
Liberty Lake Family & Sports Medicine, P.s. is a Sports Medicine (Family Medicine) Physician in Liberty Lake, Washington. Licensed in Washington. Registered with an NPI since 2007.
- Licensed in
- WA
- In the registry since
- 2007
Practice location Address checks out
2207 N Molter Rd Ste 101Liberty Lake, WA 99019-7571
Phone: (509) 921-7755
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence 601991291 (WA) |
|---|
Record details
| NPI number | 1043407935 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Manson — Owner · (509) 921-7755 |
| NPI enumerated | September 25, 2007 |
| Last updated in NPPES | October 4, 2011 |
| Mailing address | 2207 N Molter Rd, Ste 101, Liberty Lake, WA 99019-7571 |