Individual
JASON HAGERUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 MLK JR WAY, TACOMA, WA 98405
(253) 403-3211
Mailing address
1012 N I ST APT B, TACOMA, WA 98403-2167
(415) 870-3419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60459583
WA
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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