Individual
MR. JEFFERSON SCOTT DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17700 SE 272ND ST, COVINGTON, WA 98042-4951
(253) 372-7030
Mailing address
PO BOX 5299, M/S: 737-2-PHYS, TACOMA, WA 98415-0299
(253) 459-7970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006796
WA
Other
Enumeration date
07/21/2006
Last updated
12/15/2014
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