Individual
JOY KUMI WADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC, CSCS
Contact information
Practice address
144 169TH ST S, SUITE B, SPANAWAY, WA 98387-8201
(253) 846-8918
(253) 846-8126
Mailing address
9315 GRAVELLY LAKE DR SW, SUITE 203, LAKEWOOD, WA 98499-1574
(253) 581-5200
(253) 581-5203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010196
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211485
L&I
WA
05
—
8458945
—
WA
Enumeration date
07/20/2006
Last updated
09/11/2008
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