Individual
CHRISTIE HUMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 6TH AVE SE STE 201, LACEY, WA 98503-1042
(360) 459-8311
Mailing address
4200 6TH AVE SE STE 201, LACEY, WA 98503-1042
(360) 459-8311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
739696-8019
UT
225200000X
Physical Therapy Assistant
Primary
P160545278
WA
Other
Enumeration date
08/13/2010
Last updated
09/25/2024
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