PETER KELLEY JANICKI

PUYALLUP, WA
NPI1003163866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60282435)
Enumeration Date2012-08-11
Last Update Date2012-08-11
Business Address
-- PETER KELLEY JANICKI PT
3912 10TH ST SE SUITE 101
PUYALLUP, WA 98374-2188
Phone number: 253-848-4700
Mailing Address
-- PETER KELLEY JANICKI PT
PO BOX 2170
SUMNER, WA 98390-0480
Phone number: 253-840-2313