Provider Demographics
NPI:1326621467
Name:PHIPPS, TERRI ANN
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:ANN
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3817 53RD ST NE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-1974
Mailing Address - Country:US
Mailing Address - Phone:253-459-3827
Mailing Address - Fax:
Practice Address - Street 1:3817 53RD ST NE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98422-1974
Practice Address - Country:US
Practice Address - Phone:253-459-3827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter