IndividualActive
Amy Sistrunk
NPI 1033453147 · Specialist · Tumwater, WA
Provider details
- NPI number
- 1033453147
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA00019264 (WA)
Specialties & taxonomies
Other Service Providers
Practice location
3300 21st Ave Sw Apt L3
Tumwater, WA 98512-5688
Phone: (253) 441-9163
Approximate (ZIP-level) locationGet directions
Mailing address
3300 21st Ave Sw Apt L3
Tumwater, WA 98512-5688
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2012-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.