| Doctor Name: | DR. JEREMY CARSCALLEN |
| NPI Number: | 1043491152 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT, CSCS |
| License Number: | 34113 |
| Business Practice Address: | 1629 220th St Se #201 Bothell, WA - 980218466 |
| Business Phone Number: | 4254861000 |
| Business Fax Number: | |
| Mailing Address: | 1000 8th Ave, 1-205 SEATTLE |
| State: | WA |
| Postal Code: | 981041201 |
| Phone Number: | 9498369710 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2007 |
| NPI Last Update Date: | 09/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 34113 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |