MEDICARE: ROLANDAS TUMAS PT

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1760787477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLANDAS TUMAS PT

Provider Business Mailing Address
First Line	:	2201 BENDEN DR
Second Line	:
City	:	WOOSTER
State	:	OH
Zip	:	44691-5355
Country	:	US
Telephone Number	:	330-263-7270
Fax Number	:	330-263-7283

Provider Business Practice Location Address
First Line	:	275 SE CABOT DR STE B203
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-3755
Country	:	US
Telephone Number	:	360-279-1445
Fax Number	:	360-279-9296

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2011
Last Update Date	:	08/30/2019

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