Corbin Lee Fanara, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61005641 Issued in WA

Practice address

1212 N Argonne Rd
Spokane Valley, WA 99212-2799

Phone

(509) 228-3772

Fax

(509) 228-3770

NPI assigned

Dec 31, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lone Wolf Therapies, LLC

  • Massage Therapist
  • Spokane Valley, WA
  • NPI 1386138261
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1770170102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N ARGONNE RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122799",
            "telephone_number": "509-228-3772",
            "fax_number": "509-228-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N ARGONNE RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122799",
            "telephone_number": "509-228-3772",
            "fax_number": "509-228-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANARA",
        "first_name": "CORBIN",
        "middle_name": "LEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61005641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dynamics Counseling Service Inc
• Family First Senior Care
• Family First Senior Care
• Family Home Care LLC
• Family Ties Therapy, PLLC
• Karen Liu Fang, MD
• Sarah Jean Fanning
• Darian Faraca, RN
• Islam Moh'D Eissa Farajat, MA
• Angela Farb, OT

• Massage Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.