FARRIS ASHLEY RAE WAGGONER

LYNNWOOD, WA
NPI1801557897
Former NameFARRIS ASHLEY RAE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT61149357)
Enumeration Date2022-01-03
Last Update Date2022-01-03
Business Address
-- FARRIS ASHLEY RAE WAGGONER PT, DPT
20818 44TH AVE W STE 270-P
LYNNWOOD, WA 98036-7709
Phone number: 425-672-2716
Mailing Address
-- FARRIS ASHLEY RAE WAGGONER PT, DPT
1220 6TH AVE S APT B201
EDMONDS, WA 98020-4635
Phone number: 425-749-2227