Jackie Marie Jacques, PTA16675171
Jackie Marie Jacques, PTA16675171 is a Physical Therapy Assistant in Quilcene, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2022
Practice location Address checks out
29804 Highway 101 Ste #5Quilcene, WA 98376
Phone: (360) 765-0888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 16675171 (WA) |
|---|
Record details
| NPI number | 1588319214 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA16675171 |
| Sole proprietor | Yes |
| NPI enumerated | February 22, 2022 |
| Last updated in NPPES | February 22, 2022 |
| Certification date | February 8, 2022 |