| Doctor Name: | DR. JONATHAN KIRKWOOD |
| NPI Number: | 1255767604 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT60516953 |
| Business Practice Address: | 184 Creekside Park Rd Suite 200 Spring Branch, TX - 780706148 |
| Business Phone Number: | 8309804565 |
| Business Fax Number: | |
| Mailing Address: | 1308 Ne 134th St, Ste 110 VANCOUVER |
| State: | WA |
| Postal Code: | 986852726 |
| Phone Number: | 3605732266 |
| Fax Number: | 3605731502 |
| NPI Enumeration Date: | 09/17/2013 |
| NPI Last Update Date: | 04/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT60516953 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |