Wellformed AI

NPI 1831539915 · live from the CMS NPI Registry

Timothy J Davis, Au.D.

Audiologist in Walla Walla, WA. National Provider Identifier 1831539915, active.

NPI record

NPI1831539915 Type 1 · individual
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location320 W Willow St, Walla Walla, WA 99362
Practice phone509-525-3720
Mailing address905 Whitney Rd, Walla Walla, WA 99362
EnumeratedJuly 3, 2013
Last updatedAugust 20, 2021
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist231H00000XA.01857 (OH)
Audiologist primary231H00000XLD61158244 (WA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.