Provider Demographics
NPI:1215048103
Name:PATE, JENNIFER E (PT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:E
Last Name:PATE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:950 PACIFIC AVE
Mailing Address - Street 2:STE 800
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-4410
Mailing Address - Country:US
Mailing Address - Phone:253-274-4600
Mailing Address - Fax:253-274-4601
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:BOX 359819
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-731-2140
Practice Address - Fax:206-731-6046
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPT00010000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA62118UOtherREGENCE BLUE SHIELD PIN