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Individual

JOHN KENNETH PHELPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
3901 CAPITAL MALL DR SW STE D, OLYMPIA, WA 98502-8654
(360) 709-6221
(360) 359-4727
Mailing address
3901 CAPITAL MALL DR SW STE D, OLYMPIA, WA 98502-8654
(360) 709-6221
(360) 359-4727

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61343848
WA
225100000X
Physical Therapist
TX

Other

Enumeration date
07/22/2020
Last updated
09/06/2022
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