Scott Wambold, LMT

NPI #1114395266 in Castle Rock, Washington

Provider Information

NPI Number: 1114395266
Entity Type: Individual
Name: Scott Wambold, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMT
Enumeration Date: Sep 7, 2015
Last Updated: Sep 7, 2015

Practice Location

Address: 450 LECKLER CREEK RD
City: Castle Rock
State: Washington
ZIP Code: 98611-9264
Phone: (503) 781-4606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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