Individual provider · Type 1 NPI

Jacob D. Henderson, PT, DPT

Physical Therapist · Bonney Lake, WA

NPI number 1609482553 Active

Practice location

21525 Hwy 410 E Ste B
Bonney Lake, WA 98391-4101

Call (253) 826-8520 Map

Mailing address

301 S 320th St
Federal Way, WA 98003-5200

Other practice locations

  • 301 S 320th St, Federal Way, WA 98003-5200 · (877) 751-2446

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT61095770 (WA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

6 other providers at this address

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About NPI 1609482553

Jacob D. Henderson, PT, DPT's National Provider Identifier is 1609482553, issued on Sep 16, 2020. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Bonney Lake, WA. The record was last updated on Sep 10, 2025.