Individual
TIMOTHY SAMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
25022 104TH AVE SE, SUITE B, KENT, WA 98030-2822
(253) 856-0674
Mailing address
PO BOX 110865, TACOMA, WA 98411-0865
(646) 884-4994
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306603095
VA
225200000X
Physical Therapy Assistant
Primary
60064080
WA
225200000X
Physical Therapy Assistant
8678
CA
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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