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Individual

DR. JEFFREY KEITH KAWAGUCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, PHD, ATC

Contact information

Practice address
200 PHYSICAL EDUCATION BUILDING, CHENEY, WA 99004-2476
(509) 359-7967
(509) 359-4833
Mailing address
200 PHYSICAL EDUCATION BUILDING, CHENEY, WA 99004-2476
(509) 359-7967
(509) 359-4833

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
PT00003908
WA
2255A2300X
Athletic Trainer
Primary
A1 0047296
WA

Other

Enumeration date
06/28/2010
Last updated
06/28/2010
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