Individual
ADAM CHARLES SHILDMYER
Active
Individual
ADAM CHARLES SHILDMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 60285896
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144579681
—
WA
Enumeration date
08/30/2012
Last updated
11/12/2019
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