NPI 1083633994 · live from the CMS NPI Registry
Janie E Ackerman
Physical Therapist in Laconner, WA. National Provider Identifier 1083633994, active.
NPI record
| NPI | 1083633994 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 413 Morris St, Laconner, WA 98257 |
| Practice phone | 360-466-7458 |
| Mailing address | Po Box 505, 413 Morris St, La Conner, WA 98257 |
| Enumerated | July 19, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT00006228 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.