Kathleen B Polo
Neuromusculoskeletal Medicine (NMM)
915 6th Ave Ste 200
Tacoma
, Washington 98405-4682
Kathleen B Polo
Neuromusculoskeletal Medicine (NMM)
915 6th Ave Ste 200
Tacoma
, Washington 98405-4682
(253) 403-7299
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Kathleen B Polo
- 915 6th Ave Ste 200
- Tacoma, WA
- Zip : 98405-4682
- Phone : (253) 403-7299
Second Address
- Kathleen B Polo
- 915 6th Ave Ste 200
- Tacoma, WA
- Zip : 98405-4682
- Phone : (253) 403-7299
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 36931 | CO |
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | MD60221607 | WA |
National Provider Identifier
| NPI | 1013199579 |
|---|---|
| Provider Name | Kathleen B Polo |
| First Address | Tacoma, WA 98405-4682 |
| Second Address | Tacoma, WA 98405-4682 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/11/2007 |
| Last Update Date | 27/02/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.