Provider Demographics
NPI:1154871051
Name:JONES, NATHAN ANTHONY (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ANTHONY
Last Name:JONES
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 LILLY RD NE STE B
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-5086
Mailing Address - Country:US
Mailing Address - Phone:360-455-8014
Mailing Address - Fax:360-455-8719
Practice Address - Street 1:165 LILLY RD NE STE B
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5086
Practice Address - Country:US
Practice Address - Phone:360-455-8014
Practice Address - Fax:360-455-8719
Is Sole Proprietor?:No
Enumeration Date:2016-10-04
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61219480225100000X
CA296764225100000X
TX1278848225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist