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1659509727 NPI number — JESSICA CRAIK MACDONALD DPT

NPI Number: 1659509727
Health Care Provider/Practitioner: JESSICA CRAIK MACDONALD DPT

Information about “1659509727” NPI (JESSICA CRAIK MACDONALD DPT) exists in 1659509727 in HTML format HTML  |  1659509727 in plain Text format TXT  |  1659509727 in PDF (Portable Document Format) PDF  |  1659509727 in an XML format XML  formats.

NPI Number : 1659509727 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659509727",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MACDONALD",
    "FirstName": "JESSICA",
    "MiddleName": "CRAIK",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5224 336TH AVE SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FALL CITY",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98024-9654",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "401-935-0102",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1313 BROADWAY STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TACOMA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98402-3400",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "253-301-6400",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/29/2009",
    "LastUpdateDate": "09/29/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PT38739",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PT60231770",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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