Provider Demographics
NPI:1053543421
Name:HOYT, CHELSEA LYNN-LARUE (LMP)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:LYNN-LARUE
Last Name:HOYT
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 E 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4217
Mailing Address - Country:US
Mailing Address - Phone:509-263-9488
Mailing Address - Fax:
Practice Address - Street 1:15701 E SPRAGUE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99037-5019
Practice Address - Country:US
Practice Address - Phone:509-926-9355
Practice Address - Fax:509-921-8027
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60058906225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist