Organization
TACOMA THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW J JACOBS (OWNER)
(253) 475-6779
Entity
Organization
Contact information
Practice address
1720 S 72ND ST, SUITE 103, TACOMA, WA 98408-1245
(253) 475-6779
(253) 475-7005
Mailing address
PO BOX 1536, TACOMA, WA 98401-1536
(253) 475-6779
(253) 475-7005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188662
DEPT OF L&I
WA
01
—
8940719
CRIME VICTIMS
WA
Enumeration date
10/09/2006
Last updated
08/22/2020
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