Individual
JAKE LEE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1711 DALLES MILITARY RD, WALLA WALLA, WA 99362-8028
(509) 529-3220
Mailing address
500 LOCHER RD, TOUCHET, WA 99360-9648
(509) 593-9602
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT61020340
WA
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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