Individual
FARRIS ASHLEY RAE WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
20818 44TH AVE W STE 270-P, LYNNWOOD, WA 98036-7709
(425) 672-2716
(425) 672-2720
Mailing address
1220 6TH AVE S APT B201, EDMONDS, WA 98020-4635
(425) 749-2227
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61149357
WA
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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