Jack Uriah Teague, P.T.

NPI #1992845192 in Bothell, Washington

Provider Information

NPI Number: 1992845192
Entity Type: Individual
Name: Jack Uriah Teague, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Feb 7, 2007
Last Updated: Apr 11, 2008

Practice Location

Address: 18107 BOTHELL WAY NE
Address 2: SUITE 106
City: Bothell
State: Washington
ZIP Code: 98011-1900
Phone: (425) 487-3142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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