Search › Washington › 163W00000X
Ty Fotheringill
NPI 1992542096 · on the registry since 2024
Practice
- Address
- 1506 E Radio Rd
Ellensburg, WA 98926 - Phone
- (509) 925-8497
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-15
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