LIBERTY LAKE FAMILY & SPORTS MEDICINE, P.S.
NPI 1043407935
Family Medicine - Sports Medicine in Liberty Lake, WA

Active since September 25, 2007
2207 N MOLTER RD, STE 101, LIBERTY LAKE, WA 99019(509) 921-7755 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Liberty Lake Family & Sports Medicine, P.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY LAKE FAMILY & SPORTS MEDICINE, P.S. (NPI 1043407935) is a healthcare organization registered as a sports medicine in Liberty Lake, Washington and active in the NPI registry since September 2007. The organization lists Timothy Manson, Owner, as its authorized official.

NPPES Registry Identity

NPI1043407935
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameLIBERTY LAKE FAMILY & SPORTS MEDICINE, P.S.
Location Address2207 N MOLTER RD, STE 101Liberty Lake, WA 99019-7571
Mailing Address2207 N Molter Rd, Ste 101Liberty Lake, WA 99019-7571
Organization SubpartNo
Authorized OfficialTimothy MansonOwner · (509) 921-7755
Enumeration DateSeptember 25, 2007
Last NPPES UpdateOctober 4, 2011
NPI 1043407935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in WA · 601991291
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

2207 N MOLTER RD, Liberty Lake, WA 99019

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2207 N MOLTER RD, SUITE 100
LIBERTY LAKE, WA 99019
Dentist (General Practice)
2207 N MOLTER RD, SUITE 200
LIBERTY LAKE, WA 99019
Dentist (General Practice)
2207 N MOLTER RD
LIBERTY LAKE, WA 99019
Non-Pharmacy Dispensing Site
2207 N MOLTER RD
LIBERTY LAKE, WA 99019
Massage Therapist
2207 N MOLTER RD, SUITE 250
LIBERTY LAKE, WA 99019
Massage Therapist
2207 N MOLTER RD, SUITE 250
LIBERTY LAKE, WA 99019
Dentist (General Practice)
2207 N MOLTER RD, SUITE 200
LIBERTY LAKE, WA 99019
Clinic/Center
2207 N MOLTER RD, STE 203
LIBERTY LAKE, WA 99019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Lake Family & Sports Medicine, P.S.'s NPI number?

The NPI number for Liberty Lake Family & Sports Medicine, P.S. is 1043407935. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Liberty Lake Family & Sports Medicine, P.S. located?

Liberty Lake Family & Sports Medicine, P.S. is located at 2207 N Molter Rd Ste 101, Liberty Lake, WA 99019. The listed phone number is (509) 921-7755.

What is Liberty Lake Family & Sports Medicine, P.S.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Liberty Lake Family & Sports Medicine, P.S. was last updated on October 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.