Jedadiah L Stewart, LMP

NPI #1396048252 in Camas, Washington

Provider Information

NPI Number: 1396048252
Entity Type: Individual
Name: Jedadiah L Stewart, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: LMP
Enumeration Date: Dec 15, 2010
Last Updated: Dec 15, 2010

Practice Location

Address: 419 NE 4TH AVE
City: Camas
State: Washington
ZIP Code: 98607-2129
Phone: (360) 210-5266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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