Provider Demographics
NPI:1871066779
Name:LATIMER, STERLING V (LMT)
Entity type:Individual
Prefix:MR
First Name:STERLING
Middle Name:V
Last Name:LATIMER
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7408 S WARNER ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-3924
Mailing Address - Country:US
Mailing Address - Phone:206-817-7194
Mailing Address - Fax:
Practice Address - Street 1:7408 S WARNER ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-3924
Practice Address - Country:US
Practice Address - Phone:206-817-7194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist