Individual
SCOTT TUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
21715 103RD AVENUE CT E, D-401, GRAHAM, WA 98338-8152
(253) 875-7270
(253) 875-7269
Mailing address
21715 103RD AVENUE CT E, D-401, GRAHAM, WA 98338-8152
(253) 875-7270
(253) 875-7269
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60419314
WA
Other
Enumeration date
07/12/2015
Last updated
07/12/2015
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