Individual
TRISTAN GEORGE RUNYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9514 4TH ST NE UNIT 101, LAKE STEVENS, WA 98258-1937
(425) 397-2327
Mailing address
102 140TH ST NW, TULALIP, WA 98271-6795
(630) 999-5466
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161362588
WA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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