Individual
JENNIFER MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
400 S 43RD ST, VALLEY MED CENTER, NW PAVILION, RENTON, WA 98055-5714
(425) 251-5165
Mailing address
10811 SE 184TH LN, G102, RENTON, WA 98055-7197
(206) 850-8188
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005017
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8391419
—
WA
Enumeration date
05/07/2007
Last updated
07/08/2007
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