Valais, Thamara

Valais, Thamara is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4163. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Valais, Thamara can be contacted via phone (217) 876-3000.

Contact Information

Primary practice address
2300 N Edward St Decatur IL 62526-4163
Fax: (217) 876-3077
Website:

Profile Details

NPI number 1912211616
LBN Legal business name Valais, Thamara
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2010
Last updated Mar 22nd, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1912211616 NPPES
Virginia MEDICAID 30016761640003

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