Organization
JET CITY ENTERPRISTS INC
Active
Other names
G2 Sports Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J ROWLAND (OFFICE MANAGER)
(206) 363-6184
Entity
Organization
Contact information
Practice address
11304 8TH AVE NE, SUITE A, SEATTLE, WA 98125-6111
(206) 363-6184
(206) 363-6543
Mailing address
11304 8TH AVE NE, SUITE A, SEATTLE, WA 98125-6111
(206) 363-6184
(206) 363-6543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
602779150
WA
2251S0007X
Sports Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238094
L&I
WA
Enumeration date
11/15/2006
Last updated
04/02/2010
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