NPI 1043054364
Glenn Douglas Anderson
Practice location
- Address
- 909 S 336th St STE 100, Federal Way, WA 98003-7394
- Phone
- (253) 661-5166
- Mailing address
- 37303 34th Ave S, Auburn, WA 98001-8701
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1043054364
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Jun 2024
- Record last updated
- 21 Jun 2024
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.