SearchWashingtonPhysical Therapy Assistant

Jyphruz Lacasandile

NPI 1922472133 · on the registry since 2015 · sole proprietor

Practice

Address
4755 S 48th St
Tacoma, WA 98409
Phone
(253) 475-4611
Organisation at this address
Wa Pacs 2 Pc
Revera (Delaware) Llc
Genesis Rehab Services
4755 South 48th Street Operations Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-26

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