Individual
JESSE HAGEN INSLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1100 E NELSON RD, MOSES LAKE, WA 98837-2360
(509) 765-6788
Mailing address
8020 EAGLEVIEW DR, LITTLETON, CO 80125-9106
(303) 641-3078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160794295
WA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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