NPI 1003578063 · live from the CMS NPI Registry
Jordan Agtarap
Physical Therapist in Tumwater, WA. National Provider Identifier 1003578063, active.
NPI record
| NPI | 1003578063 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 5765 Littlerock Rd Sw Ste 107, Tumwater, WA 98512 |
| Practice phone | 564-999-4146 |
| Mailing address | 1200 Corporate Dr Ste 400, Hoover, AL 35242 |
| Enumerated | October 7, 2021 |
| Last updated | October 7, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.