| Doctor Name: | JENNIFER LYNN SQUIRE |
| NPI Number: | 1841457934 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 60151157 |
| Business Practice Address: | 4320 196th St Sw Ste A Lynnwood, WA - 980366753 |
| Business Phone Number: | 4259670051 |
| Business Fax Number: | 4259670053 |
| Mailing Address: | 4805 Spring Flower Ct, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462373597 |
| Phone Number: | 3174428098 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2008 |
| NPI Last Update Date: | 08/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 60151157 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |