Provider Demographics
NPI:1104057082
Name:SAMMS, DANIEL W (LP)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:W
Last Name:SAMMS
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Gender:M
Credentials:LP
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Mailing Address - Street 1:1901 S CEDAR ST
Mailing Address - Street 2:STE 101
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2308
Mailing Address - Country:US
Mailing Address - Phone:253-572-1282
Mailing Address - Fax:253-572-1175
Practice Address - Street 1:34709 9TH AVE S
Practice Address - Street 2:STE A-100
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8722
Practice Address - Country:US
Practice Address - Phone:253-952-3887
Practice Address - Fax:253-927-3058
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2013-05-17
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Provider Licenses
StateLicense IDTaxonomies
WAPS00000208224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist