Jennifer Richelle Anderson, PT
Individual provider Active NPI Physical Therapist · Tacoma, WA
NPI 1164527594 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164527594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT00008042 (WA)
- Practice address
- 315 Martin Luther King Jr Way
Tacoma, WA 98405-4234 - Phone
- (253) 403-1000
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00008042 | WA | Yes |
Addresses
Primary practice location
315 Martin Luther King Jr Way
Tacoma, WA 98405-4234
Mailing address
PO Box 5299
Ms: 737-2-Phys
Tacoma, WA 98415-0299
Phone (253) 459-7970
Other providers in Tacoma, WA
- Gregory C Anderson
- Iris Anderson
- James Thomas Anderson
- Jeanette M. Anderson
- Jennette Marie Anderson
- Jessica Ann Anderson
- Joellen Gardner Anderson
- Joshua Alan Anderson
- Kaleb Anderson
- Katelyn Anderson
All providers in Tacoma, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.