| Doctor Name: | JAIME RAE NEPHEW |
| NPI Number: | 1528272374 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 1148367 |
| Business Practice Address: | 2100 Lake Washington Blvd N Unit L-103 Renton, WA - 980561449 |
| Business Phone Number: | 9563376299 |
| Business Fax Number: | 4256565419 |
| Mailing Address: | 2100 Lake Washington Blvd N, Unit L-103 RENTON |
| State: | WA |
| Postal Code: | 980561449 |
| Phone Number: | 9563376299 |
| Fax Number: | 4256565419 |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 01/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1148367 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| 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 |