Theresa K Martin in Puyallup - Physician Assistant

Theresa K Martin - NPI 1134176340

Theresa K Martin is a Physician Assistant in Puyallup, Washington. Theresa K Martin practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Theresa K Martin is 1134176340. The last update date is 2012-07-17.

Theresa K Martin's current location address is 11212 Sunrise Blvd E, Puyallup, Washington. You can contact this provider via phone number 2536977550. The mailing address for Theresa K Martin is 11212 Sunrise Blvd E, Puyallup, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa K Martin
Address 11212 Sunrise Blvd E, Puyallup, Washington
Phone Number 2536977550
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1134176340
Provider Enumeration Date 2006-05-31
Last Updated Date 2012-07-17

Provider Mailing Address Detail

Address 11212 Sunrise Blvd E
City Puyallup
State Washington (WA)
Post Code 983748847
Phone Number 2536977550
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA60071585
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Theresa K Martin

What is the unique provider identifier assigned to Theresa K Martin?

The Theresa K Martin has been issued the NPI (National Provider Identifier) 1134176340 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Theresa K Martin is located?

The Theresa K Martin is situated at the following address: 11212 Sunrise Blvd E, Puyallup, WA, 983748847.

What is Theresa K Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Theresa K Martin is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When did Theresa K Martin receive its 1134176340 assignment?

The Theresa K Martin was assigned its 1134176340 on 2006-05-31, which is the date when this unique identifier was issued to the organization.

When was the Theresa K Martin's information last updated?

The Theresa K Martin's information was last updated on 2012-07-17.

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