Peter Kelley Janicki
Physical Therapist
3912 10th St Se Suite 101
Puyallup
, Washington 98374-2188
Peter Kelley Janicki
Physical Therapist
3912 10th St Se Suite 101
Puyallup
, Washington 98374-2188
(253) 840-6340
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Peter Kelley Janicki
- Po Box 2170
- Sumner, WA
- Zip : 98390-0480
- Fax : (253) 840-6340
- Phone : (253) 840-2313
Second Address
- Peter Kelley Janicki
- 3912 10th St Se Suite 101
- Puyallup, WA
- Zip : 98374-2188
- Fax : (253) 848-2284
- Phone : (253) 848-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT60282435 | WA |
National Provider Identifier
| NPI | 1003163866 |
|---|---|
| Provider Name | Peter Kelley Janicki |
| First Address | Sumner, WA 98390-0480 |
| Second Address | Puyallup, WA 98374-2188 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2012 |
| Last Update Date | 11/08/2012 |
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.