JIM T HENRICKSEN

TACOMA, WA
NPI1073724035
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT00004025)
Enumeration Date2007-05-24
Last Update Date2022-10-27
Business Address
JIM T HENRICKSEN PT
1708 YAKIMA AVE
TACOMA, WA 98405-5307
Phone number: 253-274-4712
Mailing Address
JIM T HENRICKSEN PT
9505 S STEELE ST
TACOMA, WA 98444-6858
Phone number: 253-597-6800