Provider Demographics
NPI:1003002403
Name:GARZA, TAMMY A (LMT)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:A
Last Name:GARZA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:A
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:4339 W KENNEWICK AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336
Mailing Address - Country:US
Mailing Address - Phone:509-735-0311
Mailing Address - Fax:509-783-1206
Practice Address - Street 1:4339 W KENNEWICK AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336
Practice Address - Country:US
Practice Address - Phone:509-735-0311
Practice Address - Fax:509-783-1206
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA000023442225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist