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Individual

JAY HARTWIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
16259 SYLVESTER RD SW STE 102, BURIEN, WA 98166-3094
(206) 242-5186
Mailing address
5539B E STEARNS ST, LONG BEACH, CA 90815-3125

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
8277
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
P161678544
WA

Other

Enumeration date
10/17/2023
Last updated
05/02/2025
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