NPI 1063632685

Tami Larae Gibson, LMT

Practitioner Other Technician Selah, WA

Practice location

Address: 107 W Naches Ave, Selah, WA 98942-1323
Phone: (509) 945-9818

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence MA00018268 (WA)

Other Technician, Other providers in Washington →

Registry record

NPI: 1063632685
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 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.