Individual
KATHLEEN G JECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4770 YELM HWY SE, LACEY, WA 98503-4986
(360) 491-6074
(360) 491-6192
Mailing address
3243 104TH AVE SW, OLYMPIA, WA 98512-9103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000856
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7103492
—
WA
Enumeration date
06/01/2006
Last updated
10/07/2010
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