Individual
MRS. HEATHER LUCETTE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5657
(253) 968-1157
Mailing address
PO BOX 728, MCKENNA, WA 98558-0728
(432) 638-5077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1091510
TX
225100000X
Physical Therapist
60112611
WA
Other
Enumeration date
09/11/2007
Last updated
06/26/2020
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