| Doctor Name: | JACALYN BREIDENBACH |
| NPI Number: | 1609983972 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | PT00008243 |
| Business Practice Address: | 126 15th St Se Puyallup, WA - 983723409 |
| Business Phone Number: | 2534458663 |
| Business Fax Number: | 2534458342 |
| Mailing Address: | 2515 140th Ave Ne, Suite 110 BELLEVUE |
| State: | WA |
| Postal Code: | 980051862 |
| Phone Number: | 4256444100 |
| Fax Number: | 4256444101 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 08/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00008243 |
| 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 |