NPI 1063731867

Teresa Lyn Bonawitz, LMP

Practitioner Mechanotherapist Vancouver, WA

Practice location

Address: 9104 NE Highway 99, Vancouver, WA 98665-8925
Phone: (360) 773-5073
Mailing address: 13306 NE 92nd St, Vancouver, WA 98682-3051

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA60042214 (WA)

Other Mechanotherapist providers in Washington →

Registry record

NPI: 1063731867
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2010
Record last updated: 19 May 2010

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.