Doctor Name: | JAKE ARNOLD DODGE |
NPI Number: | 1932432887 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PU60095969 |
Business Practice Address: | 19235 15th Ave Nw Richmond Beach Rehabilitation And Specialty Care Shoreline, WA - 98177 |
Business Phone Number: | 2065462666 |
Business Fax Number: | |
Mailing Address: | 19235 15th Ave Nw, Richmond Beach Rehabilitation And Specialty Care SHORELINE |
State: | WA |
Postal Code: | 98177 |
Phone Number: | 2065462666 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2009 |
NPI Last Update Date: | 09/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PU60095969 |
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 |