Individual provider · Type 1 NPI

Jackie Marie Jacques, PTA 16675171

Physical Therapy Assistant · Quilcene, WA

NPI number 1588319214 Active

Practice location

29804 Highway 101, Suite #5
Quilcene, WA 98376

Mailing address

PO Box 578
Sequim, WA 98382-4309

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X16675171 (WA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

About NPI 1588319214

Jackie Marie Jacques, PTA 16675171's National Provider Identifier is 1588319214, issued on Feb 22, 2022. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Quilcene, WA. The record was last updated on Feb 22, 2022.