Individual
JAKE WALTER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8011 112TH STREET CT E, PUYALLUP, WA 98373-7814
(253) 848-0662
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4626
NE
225100000X
Physical Therapist
PT61571727
WA
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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