Individual
JENNIFER F EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
130 MARVIN RD SE, SUITE 203, LACEY, WA 98503-6100
(360) 456-3300
(360) 456-6060
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008632
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175069
DEPT OF LABOR & INDUSTRIE
WA
01
—
5842ED
REGENCE BLUE SHIELD
WA
05
—
8372492
—
WA
01
—
8933595
CRIME VICTIMS
WA
Enumeration date
04/27/2006
Last updated
07/30/2025
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