Healthcare Provider Details

I. General information

NPI: 1952466427
Provider Name (Legal Business Name): JUDIE L MEIER-FRANZ MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 09/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2884 GRIFFIN AVE SUITE A
ENUMCLAW WA
98022-2318
US

IV. Provider business mailing address

2884 GRIFFIN AVE SUITE A
ENUMCLAW WA
98022-2318
US

V. Phone/Fax

Practice location:
  • Phone: 360-825-6686
  • Fax: 360-825-9851
Mailing address:
  • Phone: 360-825-6686
  • Fax: 360-825-9851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9021
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7629
License Number StateWA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: