Individual
TODD YAMAUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
BLDG 113 71B 22ND ST JBLM, FORT LEWIS, WA 98433-9843
(253) 966-1400
Mailing address
12180 PARK AVE S, TACOMA, WA 98447-0001
(253) 535-7358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A1 60109166
WA
Other
Enumeration date
04/16/2015
Last updated
01/26/2023
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