Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OP00002141 | WA |
NPI | 1346456696 |
---|---|
Provider Name | Dr. Ashley Keays |
First Address | Tacoma, WA 98407-2936 |
Second Address | Tacoma, WA 98407-2936 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 11/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1054793 | (05) | WA |