Individual
LUCAS WILLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6220 S ALASKA ST, TACOMA, WA 98408-1317
(253) 476-5300
(253) 476-5365
Mailing address
3616 S CUSHMAN AVE, TACOMA, WA 98418-2633
(253) 279-9630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60847864
WA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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