Provider Demographics
NPI:1053308213
Name:ANDREWS, DAVID LEE (DAVID ANDREWS, ATC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LEE
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:DAVID ANDREWS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7123 108TH ST NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-8511
Mailing Address - Country:US
Mailing Address - Phone:253-857-9062
Mailing Address - Fax:
Practice Address - Street 1:4411 POINT FOSDICK DR NW
Practice Address - Street 2:SUITE 101
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1703
Practice Address - Country:US
Practice Address - Phone:253-851-7472
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer