Individual
STEPHANIE TISBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4755 S 48TH ST, TACOMA, WA 98409-1919
(253) 475-4611
Mailing address
814 TAYLOR LN NE UNIT C, OLYMPIA, WA 98506-5288
(253) 682-9433
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160042868
WA
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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