Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 025208 PT00005386 | WA |
NPI | 1003023896 |
---|---|
Provider Name | Ms. Katherine Jean Thurman |
First Address | Tacoma, WA 98407-2224 |
Second Address | Tacoma, WA 98409-2615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |