| Doctor Name: | MRS. KATHRYN ELIZABETH JACQUES |
| NPI Number: | 1245470210 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | PHYP2898 |
| Business Practice Address: | Corner Of Route N12 And N7 Fort Defiance, AZ - 86504 |
| Business Phone Number: | 9287298132 |
| Business Fax Number: | |
| Mailing Address: | 4201 Tudor Centre Dr, ANCHORAGE |
| State: | AK |
| Postal Code: | 995085914 |
| Phone Number: | 9077293300 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2009 |
| NPI Last Update Date: | 08/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PHYP2898 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| 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 |