Individual
TERI JO LIENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., A.T.C.
Contact information
Practice address
633 N MILDRED ST STE A, TACOMA, WA 98406-1725
(253) 565-0438
Mailing address
3814 N MONROE ST, TACOMA, WA 98407-5125
(253) 761-8535
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
089702476
WA
Other
Enumeration date
03/03/2007
Last updated
07/08/2007
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