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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SCOTT WAMBOLD, LMT

Active Sole Proprietor

SCOTT WAMBOLD, LMT is a Mechanotherapist healthcare provider located in CASTLE ROCK, Washington. NPI 1114395266 is currently active in the NPPES registry. Verify at CMS.

Mechanotherapist · CASTLE ROCK, WA

Registration Details

NPI Number
1114395266
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2015 (10.978491163199 yrs)
Last Updated
Sep 7, 2015
Licenses
60547514 (WA)
21344 (OR)
Sole Proprietor
Yes

Practice Information

Address
450 LECKLER CREEK RD
CASTLE ROCK, WA, 986119264
Browse WA providers · Browse ZIP 98611
Phone
5037814606
Primary Specialty
Mechanotherapist
172M00000X
Additional Specialty
Mechanotherapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.