Individual
JODY CLEMENT DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
515 MINOR AVE, SUITE 22, SEATTLE, WA 98104-2112
(206) 386-5600
(206) 386-5444
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008614
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8351629
—
WA
01
—
P00748172
RAILROAD MEDICARE
WA
Enumeration date
08/01/2006
Last updated
07/13/2015
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