Individual
WILLIAM WHITACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
11204 74TH AVE NW, GIG HARBOR, WA 98332-6803
(253) 666-3976
Mailing address
11204 74TH AVE NW, GIG HARBOR, WA 98332-6803
(253) 666-3976
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 60519560
WA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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