Individual
MISS JESSICA CRAIK MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1313 BROADWAY STE 200, TACOMA, WA 98402-3400
(253) 301-6400
Mailing address
5224 336TH AVE SE, FALL CITY, WA 98024-9654
(401) 935-0102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT38739
CA
225100000X
Physical Therapist
Primary
PT60231770
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60231770
PHYSICAL THERAPIST LICENSE
WA
Enumeration date
06/29/2009
Last updated
09/29/2023
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