Doctor Name: | JOY KUMI WADA |
NPI Number: | 1437179421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, ATC, CSCS |
License Number: | PT00010196 |
Business Practice Address: | 144 169th St S Suite B Spanaway, WA - 983878201 |
Business Phone Number: | 2538468918 |
Business Fax Number: | 2538468126 |
Mailing Address: | 9315 Gravelly Lake Dr Sw, Suite 203 LAKEWOOD |
State: | WA |
Postal Code: | 984991574 |
Phone Number: | 2535815200 |
Fax Number: | 2535815203 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 09/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00010196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |