Doctor Name: | ANDREA JESSE PARKER |
NPI Number: | 1295099976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT 60386882 |
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: | 4089454018 |
NPI Enumeration Date: | 06/27/2012 |
NPI Last Update Date: | 04/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 60386882 |
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 |