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NPI Code Detail

MEDICARE: MS. PAULINA TSELIKIS

MEDICARE:  MS. PAULINA  TSELIKIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer
2390200000XStudent in an Organized Health Care Education/Training Program
3225100000XPhysical Therapist60960373WA

General Provider Information

NPI Number : 1598152381
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULINA TSELIKIS
Provider Business Mailing Address
First Line : PO BOX 371729
Second Line :
City : LAS VEGAS
State : NV
Zip : 89137-1729
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6704 TACOMA MALL BLVD STE 200
Second Line :
City : TACOMA
State : WA
Zip : 98409-9001
Country : US
Telephone Number : 253-433-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2015
Last Update Date : 05/01/2019

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Directions to “ MS. PAULINA TSELIKIS ” Practice Location

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