Carrie Anne Jackson, DPT | |
25615 104th Ave Se, Kent, WA 98030-7609 | |
(253) 872-2030 | |
Not Available |
Full Name | Carrie Anne Jackson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 25615 104th Ave Se, Kent, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275256612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT61350437 (Washington) | Primary |
Provider Name | Multicare Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Provider Name | Javaman Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841255502 PECOS PAC ID: 1456265263 Enrollment ID: O20031117000338 |
Mailing Address | Practice Location Address |
---|---|
Carrie Anne Jackson, DPT 6050 Tacoma Mall Blvd Ste 300, Tacoma, WA 98409-6828 Ph: (253) 581-5200 | Carrie Anne Jackson, DPT 25615 104th Ave Se, Kent, WA 98030-7609 Ph: (253) 872-2030 |
Christopher Shannon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13215 Se 240th St, Suite D, Kent, WA 98042 Phone: 253-631-3026 Fax: 253-631-3899 | |
Sarah E Bartholomew, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25012 104th Ave Se Ste C, Kent, WA 98030 Phone: 253-856-3477 Fax: 253-856-3478 | |
Mr. Rodney Copes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 Van De Vanter Ave, Kent, WA 98030 Phone: 253-639-4370 Fax: 866-656-3551 | |
Julia Bakun, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8009 S 180th St Ste 112, Kent, WA 98032 Phone: 425-226-7827 | |
Inhome Rehab Of Washington Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22710 126th Pl Se, Kent, WA 98031 Phone: 206-595-5085 | |
Washington Hand Therapy - Renton Physical Therapist Medicare: Medicare Enrolled Practice Location: 19400 108th Ave Se Ste 100, Kent, WA 98031 Phone: 425-917-9887 Fax: 253-277-0739 | |
Brandi Agena, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22415 68th Ave S, Kent, WA 98032 Phone: 253-395-1131 |