Doctor Name: | TODD D VALENTINE |
NPI Number: | 1629266499 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMP, SMT, NSCA-CPT |
License Number: | 7127980606 |
Business Practice Address: | 4009 Bridgeport Way W Suite E-2 University Place, WA - 984664326 |
Business Phone Number: | 2532719367 |
Business Fax Number: | 8664394666 |
Mailing Address: | 4009 Bridgeport Way W, Suite E-2 UNIVERSITY PLACE |
State: | WA |
Postal Code: | 984664326 |
Phone Number: | 2532719367 |
Fax Number: | 8664394666 |
NPI Enumeration Date: | 10/05/2007 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 7127980606 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |