Individual
KENNETH JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
116 S 1ST AVE, OTHELLO, WA 99344-1304
(509) 488-0773
(509) 488-0964
Mailing address
7201 W CLEARWATER AVE, SUITE B101, KENNEWICK, WA 99336-1694
(509) 544-0265
(509) 987-1614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008040
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181057
LABOR AND INDUSTRIES
WA
05
—
8383523
—
WA
Enumeration date
03/09/2007
Last updated
12/18/2013
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