Provider Demographics
NPI:1013017615
Name:HALME, AVILIO TIMOTELLO (PT)
Entity Type:Individual
Prefix:PROF
First Name:AVILIO
Middle Name:TIMOTELLO
Last Name:HALME
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 W CONNECTICUT ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2418
Mailing Address - Country:US
Mailing Address - Phone:360-733-2959
Mailing Address - Fax:
Practice Address - Street 1:910 HARRIS AVE
Practice Address - Street 2:SUITE A101
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7008
Practice Address - Country:US
Practice Address - Phone:360-734-0222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist