Individual
AMY LACHELLE COE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
402 15TH AVE SE STE 100, PUYALLUP, WA 98372-3709
(253) 697-5200
Mailing address
402 15TH AVE SE STE 100, PUYALLUP, WA 98372-3709
(253) 697-5200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60045885
WA
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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