Individual
MR. JESS HUNTER DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
203 S WESTERN AVE, TONASKET, WA 98855-8803
(509) 486-2784
(509) 486-4637
Mailing address
203 S. WESTERN AVE, C/O: CREDENTIALING, TONASKET, WA 98855-2345
(509) 486-3144
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61153504
WA
225100000X
Physical Therapist
PTP-PT-LIC-9316
MT
Other
Enumeration date
07/02/2015
Last updated
01/30/2024
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