Individual
JEFFREY D POWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT CYT
Contact information
Practice address
202 WHITE AVE, WINTHROP, WA 98862-9774
(509) 996-8234
(509) 996-2193
Mailing address
PO BOX 517, WINTHROP, WA 98862-0517
(360) 280-3916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007539
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0159589
LABOR AND INDUSTRIES
WA
01
—
0388163
LABOR AND INDUSTRIES
WA
05
—
8341075
—
WA
Enumeration date
09/21/2005
Last updated
10/15/2021
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