NPI 1043393804

Wendie Riley, LMTCRP

Practitioner Specialist Tacoma, WA

Practice location

Address: 5310 138th St E, Tacoma, WA 98446-4124
Phone: (253) 777-9991
Mailing address: 16827 119th Avenue CT E, Puyallup, WA 98374-9512

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00017869 (WA)

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Registry record

NPI: 1043393804
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Oct 2006
Record last updated: 9 Oct 2008

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.