Organization Name: | JOINT VENTURES THERAPEUTICS, PC |
NPI Number: | 1033177035 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JODIE L PASCHALL-MAJERUS (PRESIDENT) |
Mailing Address: | 109 S 65th Ave Ste 105 Ridgefield |
State: | WA US |
Postal Code: | 986423407 |
Phone Number: | 3607273877 |
Fax Number: | 3607273880 |
NPI Enumeration Date: | 05/02/2006 |
NPI Last Update Date: | 08/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 602034358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |