| Katie's Way Tacoma, Llc | |
|
6704 Tacoma Mall Blvd Ste 111 Tacoma WA 98409-9001 | |
| (253) 260-3460 | |
| (253) 397-3443 |
| Full Name | Katie's Way Tacoma, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6704 Tacoma Mall Blvd Ste 111, Tacoma, Washington |
| Authorized Official Name and Position | Kelly Rae Johnson (BILLING DIRECTOR) |
| Authorized Official Contact | 7853206616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katie's Way Tacoma, Llc 6704 Tacoma Mall Blvd Ste 111 Tacoma WA 98409-9001 Ph: (253) 260-3460 | Katie's Way Tacoma, Llc 6704 Tacoma Mall Blvd Ste 111 Tacoma WA 98409-9001 Ph: (253) 260-3460 |
| NPI Number | 1285405522 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285405522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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