NPI 1679503601 · live from the CMS NPI Registry
Jackie 'Teeple, MPT
Physical Therapist, Pediatrics in Spokane, WA. National Provider Identifier 1679503601, active.
NPI record
| NPI | 1679503601 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Pediatrics 2251P0200X |
| Practice location | 711 S Cowley St, Spokane, WA 99202 |
| Practice phone | 509-473-6000 |
| Mailing address | 4704 S Windward Ct, Spokane, WA 99223 |
| Enumerated | July 4, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Pediatrics primary | 2251P0200X | PT00006391 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.