NPI 1316453822

Michael Stover

Practitioner Recreation Therapist Tacoma, WA

Practice location

Address: 9600 Veterans Dr SW, Tacoma, WA 98493-0003
Phone: (509) 398-5077
Mailing address: 5301 25th Ave NW, Gig Harbor, WA 98335-1459

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in Washington →

Registry record

NPI: 1316453822
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2017
Record last updated: 19 Dec 2017

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.