Search › Washington › 363L00000X
Marisa Mack-Booth
NPI 1447190129 · on the registry since 2026
Practice
- Address
- 12180 Park Ave S
Tacoma, WA 98447 - Phone
- (253) 535-7411
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington