Luis Fernando Rivera Jr., PTA
Contractor · Spanaway, WA
Practice location
21415 43rd Avenue Ct ESpanaway, WA 98387-6841
- Phone
- (253) 359-4195
NPI record
- NPI
- 1740557313
- Entity type
- Individual (Type 1)
- Enumeration date
- November 25, 2011
- Last updated
- November 25, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
P160103900 | WA |
About Luis Rivera
Luis Fernando Rivera Jr., PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 21415 43rd Avenue Ct E, Spanaway, WA 98387-6841. The NPI number 1740557313 was assigned on November 25, 2011 and the record was last updated on November 25, 2011.
Luis Rivera lists a license in the registry: #P160103900 (WA) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Luis Fernando Rivera Jr., PTA?
The NPI number is 1740557313.
What is the phone number of Luis Rivera?
The phone number listed for the practice location is (253) 359-4195.
Where is Luis Rivera located?
21415 43rd Avenue Ct E, Spanaway, WA 98387-6841.
What is the taxonomy code for Luis Rivera?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Contractor providers in Spanaway
- Dawn Frye, LMP4727 231st Street Ct E
- Marcelina Macandog1102 186TH Street Ct E