Search › Washington › 225100000X
Jacob Henderson, PT, DPT
NPI 1609482553 · on the registry since 2020
Practice
- Address
- 21525 Hwy 410 E Ste B
Bonney Lake, WA 98391 - Phone
- (253) 826-8520
- Organisation at this address
- Performance Sports And Spine Physical Therapy Ps
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Additional practice sites
- 301 S 320th St, Federal Way, WA
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington