Individual
JEFFREY NIEDZINSKI
Active
Individual
JEFFREY NIEDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194291
DEPT OF LABOR & INDUSTRY
WA
05
—
8416075
—
WA
01
—
8554NI
REGENCE BLUE SHIELD
WA
01
—
8851151
PIERCE COUNTY
WA
01
—
8939972
CRIME VICTIMS
WA
Enumeration date
11/09/2006
Last updated
07/08/2007
Update your record
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