Individual
MS. JACKIE 'TEEPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
711 S COWLEY ST, SPOKANE, WA 99202-1330
(509) 473-6000
Mailing address
4704 S WINDWARD CT, SPOKANE, WA 99223-7868
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT00006391
WA
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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