Martin, Theresa K

Martin, Theresa K is an individual health care provider with primary practice located at 11212 Sunrise Blvd E #201, Puyallup WA 98374-8847. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Martin, Theresa K can be contacted via phone (253) 697-7550.

Contact Information

Primary practice address
11212 Sunrise Blvd E #201 Puyallup WA 98374-8847
Phone: (253) 697-7550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9103689 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60071585 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60071585 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60071585 Washington

Profile Details

NPI number 1134176340
LBN Legal business name Martin, Theresa K
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 17th, 2012 - about 13 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.

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