Individual
MICHAEL TODD SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, OCS
Contact information
Practice address
1 N TACOMA AVE, STE 103, TACOMA, WA 98403-3131
(253) 274-1884
(253) 274-1885
Mailing address
21621 21ST ST E, LAKE TAPPS, WA 98391-6226
(253) 682-6305
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT00006337
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7121973
—
WA
Enumeration date
03/13/2007
Last updated
02/04/2008
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