Ty John Rockwell in Spokane Valley - Specialist
Ty John Rockwell - NPI 1114115128
Ty John Rockwell is a Specialist in Spokane Valley, Washington. Ty John Rockwell practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ty John Rockwell is 1114115128. The last update date is 2007-10-04.
Ty John Rockwell's current location address is 12121 E. Broadway, Bldg 5b, Spokane Valley, Washington. You can contact this provider via phone number 5099219800. The mailing address for Ty John Rockwell is 12121 E. Broadway, Bldg 5b, Spokane Valley, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ty John Rockwell |
|---|---|
| Address | 12121 E. Broadway, Bldg 5b, Spokane Valley, Washington |
| Phone Number | 5099219800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1114115128 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 12121 E. Broadway, Bldg 5b |
|---|---|
| City | Spokane Valley |
| State | Washington (WA) |
| Post Code | 99206 |
| Phone Number | 5099219800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00020409 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ty John Rockwell by the Centers for Medicare & Medicaid Services?
The Ty John Rockwell has been issued the NPI (National Provider Identifier) 1114115128, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ty John Rockwell is geographically located?
The Ty John Rockwell is physically situated at the following location: 12121 E. Broadway, Bldg 5B, Spokane Valley, WA, 99206.
What is Ty John Rockwell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ty John Rockwell's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When was the Ty John Rockwell's 1114115128 issued?
The Ty John Rockwell's 1114115128 was issued on 2007-10-04.
When was the information related to Ty John Rockwell most recently updated or refreshed?
The details pertaining to the Ty John Rockwell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-04.