Doctor Name: | JEFFREY DEAN MEADOWS |
NPI Number: | 1124174065 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | |
Business Practice Address: | 12121 Harbour Reach Dr #100 Mukilteo, WA - 982755314 |
Business Phone Number: | 4254938313 |
Business Fax Number: | 4254939614 |
Mailing Address: | 10505 19th Ave Se, Suite B EVERETT |
State: | WA |
Postal Code: | 982084280 |
Phone Number: | 4085700510 |
Fax Number: | 4084284193 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |