Healthcare Provider Details

I. General information

NPI: 1770818437
Provider Name (Legal Business Name): JANIE L JONES MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2009
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 SE SUMMIT CT
PULLMAN WA
99163-5540
US

IV. Provider business mailing address

1445 BORAH AVE
MOSCOW ID
83843-2403
US

V. Phone/Fax

Practice location:
  • Phone: 509-332-5106
  • Fax:
Mailing address:
  • Phone: 208-882-0338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00007119
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: