NPI 1003041096
Thomas Hagan
Practice location
- Address
- 46409 287th Ave SE, Enumclaw, WA 98022-7347
- Phone
- (360) 829-7242
- Mailing address
- PO Box 224, Enumclaw, WA 98022-0224
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1003041096
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 May 2009
- Record last updated
- 20 May 2009
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.