| Michele D Jackson, DPT | |
|
27005 Pacific Hwy S, Des Moines, WA 98198-9250 | |
| (253) 839-9280 | |
| Not Available |
| Full Name | Michele D Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 27005 Pacific Hwy S, Des Moines, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033214291 | NPI | - | NPPES |
| P00303497 | Other | WA | RAILROAD MEDICARE |
| 0296927 | Other | WA | L & I |
| 8413668 | Medicaid | WA | |
| 0197668 | Other | WA | DEPT OF LABOR & INDUSTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00009603 (Washington) | Primary |
| Provider Name | Physiotherapy Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1497211049 PECOS PAC ID: 3577470442 Enrollment ID: O20190416001553 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele D Jackson, DPT 27005 Pacific Hwy S, Des Moines, WA 98198-9250 Ph: (253) 839-9280 | Michele D Jackson, DPT 27005 Pacific Hwy S, Des Moines, WA 98198-9250 Ph: (253) 839-9280 |
Mrs. Irish Pediangco Dela Paz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2800 S 224th St, Des Moines, WA 98198 Phone: 206-824-0600 | |
Dr. Marina Leigh Briscoe, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22659 Pacific Hwy S, Suite 201, Des Moines, WA 98198 Phone: 206-824-3668 Fax: 206-824-3964 | |
Steven G Wittrock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22659 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-824-3668 Fax: 206-824-3964 | |
Mrs. Laney Virginia O'neill, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22659 Pacific Hwy S, Suite 201, Des Moines, WA 98198 Phone: 206-824-3668 Fax: 206-824-3964 | |
Ellen Murphy, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 27005 Pacific Hwy S, Des Moines, WA 98198 Phone: 253-839-9280 Fax: 253-839-9375 | |
Carol Walter, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27005 Pacific Hwy S, Des Moines, WA 98198 Phone: 253-839-9280 Fax: 253-839-9375 |