Individual
MR. JASON P GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4915 25TH AVE NE STE 104, SEATTLE, WA 98105
(206) 315-7998
(206) 316-2308
Mailing address
15 SW EVERETT MALL WAY STE G, EVERETT, WA 98204-2715
(425) 355-5222
(425) 355-5231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
34756
CA
225100000X
Physical Therapist
Primary
PT60844798
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0392938
WA DEPT OF LNI
WA
Enumeration date
07/14/2008
Last updated
01/13/2020
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