Individual
MR. TIM EARL RUBOTTOM I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7723 CHAMBERS CREEK RD W, TACOMA, WA 98467-2017
(253) 620-8300
Mailing address
7723 CHAMBERS CREEK RD W, TACOMA, WA 98467-2017
(253) 620-8300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160033472
WA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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