Individual
EMILY LAVIS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6704 TACOMA MALL BLVD STE 100, TACOMA, WA 98409-9001
(253) 475-4870
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
(253) 581-5200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.70020285
WA
Other
Enumeration date
07/24/2025
Last updated
08/05/2025
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