Provider Demographics
NPI:1437721495
Name:WILLIAMS-TOOMER, DEONTE'
Entity Type:Individual
Prefix:
First Name:DEONTE'
Middle Name:
Last Name:WILLIAMS-TOOMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4102 ALABASTER ST SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-2185
Mailing Address - Country:US
Mailing Address - Phone:254-462-5120
Mailing Address - Fax:
Practice Address - Street 1:1017 4TH AVE E
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4016
Practice Address - Country:US
Practice Address - Phone:360-851-1431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-10
Last Update Date:2021-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty