| Doctor Name: | MICHAEL H. JENNINGS |
| NPI Number: | 1972551505 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | PT00003838 |
| Business Practice Address: | 14800 Starfire Way Tukwila, WA - 981888502 |
| Business Phone Number: | 2062677811 |
| Business Fax Number: | 2062677813 |
| Mailing Address: | 4040 Orchard St W, Suite 100 FIRCREST |
| State: | WA |
| Postal Code: | 984666606 |
| Phone Number: | 2535641560 |
| Fax Number: | 2535644449 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 11/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00003838 |
| 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 |