Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 60974773 | WA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 168153 | KY |
NPI | 1033568241 |
---|---|
Provider Name | Akim Nyormoi |
First Address | Snohomish, WA 98290-1750 |
Second Address | Snohomish, WA 98290-1750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2016 |
Last Update Date | 30/04/2021 |