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Search › Washington › 225100000X

Jeremie Laraque-Two Elk, PT, DPT, MPH

NPI 1861078750 · on the registry since 2021

Practice

Address
9040a Jackson Ave
Tacoma, WA 98431
Phone
(253) 968-1110
Organisation at this address
Amc Madigan-Ft Lewis
Madigan Army Medical Ctr
Madigan Army Medical Center
Madigan Army Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

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
2022-11-09

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