NPI 1023335130

Jermaine Laurence Peake, LMP

Practitioner Mechanotherapist Vancouver, WA

Practice location

Address: 15619 NE 1st Cir, Vancouver, WA 98684-3349
Phone: (360) 840-4197

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA60139525 (WA)

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Registry record

NPI: 1023335130
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2010
Record last updated: 28 Apr 2010

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.