Individual
GREGORY CHARLES HUEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
2505 RACQUET LANE, YAKIMA, WA 98902-6114
(509) 453-7325
(509) 453-7330
Mailing address
2505 RACQUET LANE, YAKIMA, WA 98902-6114
(509) 453-7325
(509) 453-7330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006530
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202947
DEPT OF LABOR AND INDUSTRIES (L&I)
WA
05
—
1008130
—
WA
05
—
8440414
—
WA
Enumeration date
01/27/2006
Last updated
02/14/2022
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