Individual
MS. JENNIFER L LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1600 E JEFFERSON ST, SUITE A-5, SEATTLE, WA 98122-5698
(206) 320-2404
(206) 320-4747
Mailing address
6307 22ND AVE NE, SEATTLE, WA 98115-6919
(206) 320-5434
(206) 320-4747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007494
WA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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