Healthcare Provider Details

I. General information

NPI: 1255387742
Provider Name (Legal Business Name): VALERIE MARGARET MCLEOD PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALERIE MARGARET HEATH PT

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 NE MEDICAL CENTER ROAD SUITE A
BELFAIR WA
98528
US

IV. Provider business mailing address

PO BOX 637
BELFAIR WA
98528
US

V. Phone/Fax

Practice location:
  • Phone: 360-275-4352
  • Fax: 360-275-5692
Mailing address:
  • Phone: 360-275-4352
  • Fax: 360-275-5692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00002351
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT8573
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: