Provider Demographics
NPI:1679155196
Name:ANASTASSIADES, JAMES GEORGE (BS, KINESIOLOGY)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:GEORGE
Last Name:ANASTASSIADES
Suffix:
Gender:M
Credentials:BS, KINESIOLOGY
Other - Prefix:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:2707 W PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-6394
Mailing Address - Country:US
Mailing Address - Phone:714-861-0362
Mailing Address - Fax:
Practice Address - Street 1:2707 W PARKWAY DR
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-6394
Practice Address - Country:US
Practice Address - Phone:714-861-0362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist