Jack Teague, P.T

NPI 1992845192 · on the registry since 2007 · sole proprietor

Practice

Address: 18107 Bothell Way Ne
Suite 106
Bothell, WA 98011
Phone: (425) 487-3142
Fax: (425) 487-8785
Organisation at this address: Northshore Physical Therapy
Avamere Outpatient Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

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: 2008-04-11

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