Healthcare Provider Details

I. General information

NPI: 1730290867
Provider Name (Legal Business Name): JANICE K STEGMILLER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANICE K HOLTH PT

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 11/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7728 204TH ST NE SUITE A
ARLINGTON WA
98223-2500
US

IV. Provider business mailing address

1519 132ND ST SE SUITE A
EVERETT WA
98208-7203
US

V. Phone/Fax

Practice location:
  • Phone: 360-403-8250
  • Fax: 360-403-0917
Mailing address:
  • Phone: 425-357-9380
  • Fax: 425-357-9382

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1418
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: