Individual
JEANNINE POUCEL MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4545 POINT FOSDICK DR NW, GIG HARBOR, WA 98335-1700
(253) 792-6555
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008252
WA
Other
Enumeration date
10/16/2007
Last updated
03/31/2022
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