JACOB JOHN KMIECIK

SEATTLE, WA
NPI1578043089
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60852959)
Enumeration Date2018-08-15
Last Update Date2018-08-15
Business Address
JACOB JOHN KMIECIK DPT
1218 3RD AVE STE 104
SEATTLE, WA 98101-3008
Phone number: 206-447-2220
Mailing Address
JACOB JOHN KMIECIK DPT
5450 LEARY AVE NW APT 643
SEATTLE, WA 98107-4081
Phone number: 402-350-3146