Provider Demographics
NPI:1366958415
Name:MEROSHNIK, JENNIFER ANDREA
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANDREA
Last Name:MEROSHNIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 EAST 44TH AVE
Mailing Address - Street 2:F301
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223
Mailing Address - Country:US
Mailing Address - Phone:509-992-8843
Mailing Address - Fax:
Practice Address - Street 1:3210 EAST 44TH AVE
Practice Address - Street 2:F301
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223
Practice Address - Country:US
Practice Address - Phone:509-992-8843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist