Individual
KIMBERLY TEVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
16515 MERIDIAN E, SUITE 202B, PUYALLUP, WA 98375-6251
(253) 840-5511
(253) 840-0835
Mailing address
16515 MERIDIAN E, SUITE 202B, PUYALLUP, WA 98375-6251
(253) 840-5511
(253) 840-0835
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A1 60134292
WA
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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