NPI 1003021569

Tiari Gardner Degraw, PTA

Practitioner Physical Therapy Assistant Federal Way, WA

Practice location

Address: 1010 S 336th St STE 120, Federal Way, WA 98003-7354
Phone: (866) 835-8091
Fax: (253) 835-7102
Mailing address: 5802 162nd Ave E, Sumner, WA 98390-3108

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1003021569
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.