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General NPI Number Information
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NPI Number | 1619540978
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Entity Type | Organization
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Legal Business Name | LYMPHEDEMA THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 12/08/2024
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Provider Practice Location Address
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Address Line | 5413 S SHERIDAN AVE # A
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City | TACOMA
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State | WA
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Zip | 98408-3537
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Country | US
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Telephone | 971-220-1209
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Fax |
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Provider Business Mailing Address
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Address Line | 5413 S SHERIDAN AVE # A
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City | TACOMA
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State | WA
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Zip | 98408-3537
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Country | US
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Telephone | 971-220-1209
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Fax |
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Authorized Official
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Title or Position | OWNER/ CEO
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Name | THUYMAI ANNA FEE
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Credential | PT, DPT
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Telephone | 971-220-1209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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