Peter Kelley Janicki, PT

NPI #1003163866 in Puyallup, Washington

Provider Information

NPI Number: 1003163866
Entity Type: Individual
Name: Peter Kelley Janicki, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 11, 2012
Last Updated: Aug 11, 2012

Practice Location

Address: 3912 10TH ST SE
Address 2: SUITE 101
City: Puyallup
State: Washington
ZIP Code: 98374-2188
Phone: (253) 848-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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