Jodi R Kirkwood
Orthotic Fitter
204 Quince St Ne Suite 100
Olympia
, Washington 98506-4009
Jodi R Kirkwood
Orthotic Fitter
204 Quince St Ne Suite 100
Olympia
, Washington 98506-4009
(360) 705-2413
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Jodi R Kirkwood
- Po Box 1965
- Olympia, WA
- Zip : 98507-1965
- Fax : (360) 705-2413
- Phone : (360) 753-7224
Second Address
- Jodi R Kirkwood
- 204 Quince St Ne Suite 100
- Olympia, WA
- Zip : 98506-4009
- Fax : (360) 705-2413
- Phone : (360) 753-7224
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1972765295 |
|---|---|
| Provider Name | Jodi R Kirkwood |
| First Address | Olympia, WA 98507-1965 |
| Second Address | Olympia, WA 98506-4009 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2008 |
| Last Update Date | 27/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 203259289-98506-0000 | TRICARE (01) | |
| 8989CU | REGENCE BLUE SHIELD (01) | |
| 9057852 | (05) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.