Provider Demographics
NPI:1790432763
Name:ROLPH, JOYCE DEE
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:DEE
Last Name:ROLPH
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 1:1033 S 76TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-2904
Mailing Address - Country:US
Mailing Address - Phone:253-318-7531
Mailing Address - Fax:
Practice Address - Street 1:CHIROPRACTIC PHYSICIANS
Practice Address - Street 2:7047 S D ST SUITE B
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-2904
Practice Address - Country:US
Practice Address - Phone:253-471-8986
Practice Address - Fax:253-471-8987
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61233344225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist