Individual
JERI E HINMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60156040
WA
225700000X
Massage Therapist
MA00015317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187957
LABOR AND INDUSTRIES
WA
01
—
3593HI
ASURIS-REGENCE
WA
Enumeration date
11/30/2006
Last updated
01/07/2011
Update your record
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