Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jack Anthony Wilder, PT

Individual provider Orthopedic Physical Therapist · NPI 1326269739

Mr. Jack Anthony Wilder, PT is an Orthopedic Physical Therapist in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

405 Black Hills Ln SW Ste G
Olympia, WA 98502-8661
Phone: (360) 956-2562
Fax: (360) 956-1894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT00009619 (WA)

Record details

NPI number1326269739
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4701 77th Ct Se, Olympia, WA 98501-9697

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