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NPI Code Detail

MEDICARE: MR. CLAUDE A CIANCIO MSPT

MEDICARE: MR. CLAUDE A CIANCIO MSPT
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
1225100000XPhysical TherapistPT00005108WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285626127
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CLAUDE A CIANCIO MSPT
Provider Business Mailing Address
First Line : PO BOX 2170
Second Line :
City : SUMNER
State : WA
Zip : 98390-0480
Country : US
Telephone Number : 253-840-6448
Fax Number : 253-848-8897
Provider Business Practice Location Address
First Line : 3912 10TH ST SE
Second Line :
City : PUYALLUP
State : WA
Zip : 98374-2188
Country : US
Telephone Number : 253-848-4700
Fax Number : 253-848-2284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 10/21/2010

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Directions to “ MR. CLAUDE A CIANCIO MSPT” Practice Location

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