Individual
CATHLEEN JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
140 SW 146TH ST, BURIEN, WA 98166-1912
(206) 901-2300
Mailing address
140 SW 146TH ST, BURIEN, WA 98166-1912
(206) 630-3116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005614
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8437469
—
WA
Enumeration date
07/25/2007
Last updated
05/17/2021
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