Individual
JO S SCHOENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 OLIVE WAY, MS M4 PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003081
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039585
LABOR AND INDUSTRIES#
WA
01
—
SC1236
BLUE SHIELD#
WA
01
—
US1051994
AETNA SPECIALIST PIN
WA
Enumeration date
07/26/2007
Last updated
04/11/2008
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