Individual
JAMI POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4007 TIETON DR, YAKIMA, WA 98908-3345
(509) 966-4500
Mailing address
4949 N SKY VISTA AVE, YAKIMA, WA 98901-1621
(808) 936-9023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A1783
MN
225200000X
Physical Therapy Assistant
Primary
P1 60045625
WA
225700000X
Massage Therapist
MA 60184333
WA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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