Individual
MR. JEFFREY ALLEN WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
13424 173RD ST E, PUYALLUP, WA 98374-9281
(253) 200-1049
Mailing address
13424 173RD ST E, PUYALLUP, WA 98374-9281
(253) 200-1049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00009967
WA
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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