NPI 1003163866

Peter Kelley Janicki, PT

Practitioner Physical Therapist Puyallup, WA

Practice location

Address: 3912 10th St SE Suite 101, Puyallup, WA 98374-2188
Phone: (253) 848-4700
Fax: (253) 848-2284
Mailing address: PO Box 2170, Sumner, WA 98390-0480

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT60282435 (WA)

Other Physical Therapist providers in Washington →

Registry record

NPI: 1003163866
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2012
Record last updated: 11 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.