Mary M Mayberry, PTA
Physical Therapy Assistant in Tacoma, WA. Individual provider (NPI-1).
NPI number1649511684
StatusActive
Last updated in NPPESMar 14, 2013
Details
- NPI
- 1649511684
- Entity type
- Individual (NPI-1)
- Name
- Mary M Mayberry
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2013
- Last updated
- Mar 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | p1 60045694 | WA | Yes |
Practice location
6004 Westgate Blvd#220
Tacoma, WA 98406-2503
Phone 253-759-4065
Mailing address
109 Northwest Eldredge AvenueOrting, WA 98360-0486
Phone 253-341-1276
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All 82 Physical Therapy Assistant providers in Tacoma · All 15,721 providers in Tacoma
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