Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
201 16TH AVE E, PT/OT DEPARTMENT, SEATTLE, WA 98112-5226
(206) 326-3412
Mailing address
201 16TH AVE E, PT/OT DEPARTMENT, SEATTLE, WA 98112-5226
(206) 326-3412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008716
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201781
L & I
WA
05
—
8337222
—
WA
01
—
G8882068
MEDICARE
WA
Enumeration date
02/12/2007
Last updated
04/19/2021
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