Tiari Gardner Degraw
Physical Therapy Assistant
1010 S 336th St Ste 120
Federal Way
, Washington 98003-7354
Tiari Gardner Degraw
Physical Therapy Assistant
1010 S 336th St Ste 120
Federal Way
, Washington 98003-7354
(253) 891-3108
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Tiari Gardner Degraw
- 5802 162nd Ave E
- Sumner, WA
- Zip : 98390-3108
- Phone : (253) 891-3108
Second Address
- Tiari Gardner Degraw
- 1010 S 336th St Ste 120
- Federal Way, WA
- Zip : 98003-7354
- Fax : (253) 835-7102
- Phone : (866) 835-8091
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | WA |
National Provider Identifier
| NPI | 1003021569 |
|---|---|
| Provider Name | Tiari Gardner Degraw |
| First Address | Sumner, WA 98390-3108 |
| Second Address | Federal Way, WA 98003-7354 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2007 |
| Last Update Date | 08/07/2007 |
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.