Individual
JACQLYNN Z. GENTZKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3101 NORTHUP WAY STE 101, BELLEVUE, WA 98004-1469
(425) 462-5006
(425) 462-5019
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 462-5006
(425) 462-5019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61410524
WA
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251419
—
WA
01
—
467199
WA L & I
WA
Enumeration date
05/19/2023
Last updated
03/18/2026
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