Individual provider · NPI-1

Jackie 'Teeple, MPT

Physical Therapist, Pediatrics · Spokane, WA

NPI number1679503601
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1679503601
Entity type
Individual (NPI-1)
Name
Ms. Jackie 'Teeple
Credential
MPT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 4, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251P0200X Physical Therapist, PediatricsPT00006391WAYes

Practice location

711 S Cowley St
Spokane, WA 99202-1330

Phone 509-473-6000

Mailing address

4704 S Windward Ct
Spokane, WA 99223-7868

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