Provider Demographics
NPI:1841803772
Name:TJULANDER, CHERYL (LMT)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:TJULANDER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 A ST UNIT 1812
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98401-1239
Mailing Address - Country:US
Mailing Address - Phone:253-321-7010
Mailing Address - Fax:
Practice Address - Street 1:1102 A ST STE 408
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-5010
Practice Address - Country:US
Practice Address - Phone:253-321-7010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-29
Last Update Date:2020-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60936505225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty