NPI 1154196624
Jordan Marie Fahey, ACSMCEP
Practice location
- Address
- 1450 5th St SE STE 2500, Puyallup, WA 98372-4692
- Phone
- (253) 381-9848
- Mailing address
- 2214 N Villard St, Tacoma, WA 98406-2941
Registered specialties
Clinical Exercise Physiologist
Primary
Registry record
- NPI
- 1154196624
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Nov 2023
- Record last updated
- 15 Nov 2023
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.