Provider Demographics
NPI:1689125148
Name:HERRING, TAWNY
Entity Type:Individual
Prefix:
First Name:TAWNY
Middle Name:
Last Name:HERRING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TAWNY
Other - Middle Name:
Other - Last Name:NAJJAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 NW MYHRE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383
Mailing Address - Country:US
Mailing Address - Phone:360-598-3764
Mailing Address - Fax:360-598-3282
Practice Address - Street 1:KITSAP PHYSICAL THERAPY
Practice Address - Street 2:2400 NW MYHRE RD STE 102
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383
Practice Address - Country:US
Practice Address - Phone:360-613-1834
Practice Address - Fax:360-598-3282
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT29244283X00000X
WAPT61169662225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist