Individual
JEFFERY D STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
194 SUNSET AVE, EDMONDS, WA 98020-4134
(425) 776-3348
(425) 776-3384
Mailing address
15008 9TH PL NE, SHORELINE, WA 98155-7006
(206) 367-2438
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT00002908
LICENSE #
WA
Enumeration date
08/30/2006
Last updated
07/08/2007
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