Individual
AMY L TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
22739 SE 29TH ST, SAMMAMISH, WA 98075
(425) 392-4010
(425) 392-4011
Mailing address
2521 NE JARED CT, ISSAQUAH, WA 98029
(425) 577-8198
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5931961-2401
UT
225100000X
Physical Therapist
Primary
PT00010073
WA
Other
Enumeration date
05/02/2007
Last updated
08/10/2007
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