Individual
CHRISTOPHER DENNIS THEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
702 S 40TH AVE, YAKIMA, WA 98908-3331
(509) 607-0911
Mailing address
7401 W LINCOLN AVE, YAKIMA, WA 98908-1284
(509) 607-0911
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160035160
WA
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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