Malmborg Okelley, Tyra L
Malmborg Okelley, Tyra L is an individual health care provider with primary practice located at 5029 Evergreen Way , Everett WA 98203-2826. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Malmborg Okelley, Tyra L can be contacted via phone (425) 252-1642.Contact Information
Primary practice address
5029 Evergreen Way
Everett WA 98203-2826
Phone: (425) 252-1642
Fax: (425) 258-1824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1730136334 |
|---|---|
| LBN Legal business name | Malmborg Okelley, Tyra L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Dec 3rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730136334 | NPPES |
| Washington | Other | 5028MA | REGENCE BLUE SHIELD |
| Washington | MEDICAID | 8385379 | REGENCE BLUE SHIELD |
| Washington | Other | 0264717 | REGENCE BLUE SHIELD |
| Washington | Other | 8875MA | REGENCE BLUE SHIELD |
| Washington | Other | 2358MA | REGENCE BLUE SHIELD |
| Washington | Other | 4524MA | REGENCE BLUE SHIELD |
| Washington | Other | 5342MA | REGENCE BLUE SHIELD |
| Washington | Other | 911745305-98203-C007 | REGENCE BLUE SHIELD |
| Washington | Other | 0201977 | REGENCE BLUE SHIELD |
| Washington | Other | 0562MA | REGENCE BLUE SHIELD |
| Washington | Other | 8542MA | REGENCE BLUE SHIELD |
| Washington | Other | 8935654 | REGENCE BLUE SHIELD |
| Washington | Other | 911745305-98275-A004 | REGENCE BLUE SHIELD |
| Washington | Other | 5066111 | REGENCE BLUE SHIELD |
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