Individual
MR. JEREMY B CALKINS
Active
Individual
MR. JEREMY B CALKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009199
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192087
DEPT OF L&I
WA
01
—
4822CA
REGENCE BS
WA
01
—
7780484
AETNA
WA
05
—
8368961
—
WA
01
—
8939557
CRIME VICTIMS
WA
Enumeration date
08/18/2005
Last updated
10/20/2015
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