Individual
SANDRA KAY TIPPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499
(253) 589-6441
Mailing address
11411 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499
(253) 589-6441
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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