Ty John Rockwell, LMT

NPI #1114115128 in Spokane Valley, Washington

Provider Information

NPI Number
1114115128
Entity Type
Individual
Name
Ty John Rockwell, LMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
LMT
Enumeration Date
Oct 4, 2007
Last Updated
Oct 4, 2007

Practice Location

Address
12121 E. BROADWAY, BLDG 5B
ZIP Code
99206
Phone
(509) 921-9800

Specialties & Taxonomy Codes

Specialty
Specialist

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