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Individual

TAMMY W SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 337-9556
(425) 357-9186
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 330-0633
(425) 338-9637

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00003942
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0214813
DEPT. OF LABOR & INDUSTRY
WA
01
2072SM
REGENCE BLUE SHIELD
WA
01
2249SM
REGENCE BLUE SHIELD
WA
01
7274SM
REGENCE BLUE SHIELD
WA
01
7291528
AETNA
WA
05
8376733
WA
01
8942955
L&I CRIME VICTIMS
WA
Enumeration date
11/02/2006
Last updated
10/10/2007
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