NPI 1164527594 · live from the CMS NPI Registry
Jennifer Richelle Anderson, PT
Physical Therapist in Tacoma, WA. National Provider Identifier 1164527594, active.
NPI record
| NPI | 1164527594 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 315 Martin Luther King Jr Way, Tacoma, WA 98405 |
| Practice phone | 253-403-1000 |
| Mailing address | Po Box 5299, Ms: 737-2-Phys, Tacoma, WA 98415 |
| Enumerated | September 13, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT00008042 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.