Individual provider · Type 1 NPI

Sally Jo Wyatt, LMP

Specialist · Port Orchard, WA

NPI number 1174767412 Active

Practice location

1963 Bethel Rd SE
Port Orchard, WA 98366-3108

Mailing address

PO Box 403
Manchester, WA 98353-0403

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA60083727 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174767412

Sally Jo Wyatt, LMP's National Provider Identifier is 1174767412, issued on Apr 30, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Orchard, WA. The record was last updated on Feb 10, 2010.