Provider Demographics
NPI:1770181232
Name:TONN PHYSIO PLLC
Entity type:Organization
Organization Name:TONN PHYSIO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BURKE
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:360-209-2110
Mailing Address - Street 1:307 S 1ST ST STE B103
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-3856
Mailing Address - Country:US
Mailing Address - Phone:360-209-2110
Mailing Address - Fax:855-952-3795
Practice Address - Street 1:307 S 1ST ST STE B103
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-3856
Practice Address - Country:US
Practice Address - Phone:360-209-2110
Practice Address - Fax:855-952-3795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No305S00000XManaged Care OrganizationsPoint of Service