MEDICARE: JILL TOMLINSON GHENT DPT

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	PT00008901	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	650024855	OTHER	WA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6712TO	OTHER	WA	REGENCE BCBS GIG HARBOR
2	1112TO	OTHER	WA	REGENCE BCBS TACOMA
3	188058	OTHER	WA	LABOR AND INDUSTRIES WC
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891860318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL TOMLINSON GHENT DPT

Provider Business Mailing Address
First Line	:	10550 HARBOR HILL DR NW
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98332-8944
Country	:	US
Telephone Number	:	253-530-8970
Fax Number	:	253-858-1143

Provider Business Practice Location Address
First Line	:	10550 HARBOR HILL DR NW
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98332-8944
Country	:	US
Telephone Number	:	253-530-8970
Fax Number	:	253-858-1143

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	12/15/2014

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Directions to “ JILL TOMLINSON GHENT DPT” Practice Location

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