MEDICARE: MS. JILL ANNE MCVEY DPT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	60033483	WA

General Provider Information

NPI Number	:	1275507196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JILL ANNE MCVEY DPT, ATC

Provider Business Mailing Address
First Line	:	6006 46TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1431
Country	:	US
Telephone Number	:	206-465-4399
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 N 35TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-8908
Country	:	US
Telephone Number	:	206-465-4399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	01/06/2020

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