Jaclyn June Monge Southard in Olympia - Mechanotherapist
Jaclyn June Monge Southard - NPI 1497936546
Jaclyn June Monge Southard is a Mechanotherapist in Olympia, Washington. Jaclyn June Monge Southard practices all healthcare services and medical treatments related to Mechanotherapist. The NPI Number for Jaclyn June Monge Southard is 1497936546. The last update date is 2020-11-22.
Jaclyn June Monge Southard's current location address is 9649 Lookout Dr Nw, Olympia, Washington. You can contact this provider via phone number 3603880485 and fax number 3608904066. The mailing address for Jaclyn June Monge Southard is 9649 Lookout Dr Nw, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn June Monge Southard |
|---|---|
| Address | 9649 Lookout Dr Nw, Olympia, Washington |
| Phone Number | 3603880485 |
| Fax Number | 3608904066 |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1497936546 |
|---|---|
| Provider Enumeration Date | 2007-11-16 |
| Last Updated Date | 2020-11-22 |
Provider Mailing Address Detail
| Address | 9649 Lookout Dr Nw |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985029757 |
| Phone Number | 3603880485 |
| Fax Number | 3608904066 |
Provider's Primary Taxonomy Detail
| Speciality | Mechanotherapist |
|---|---|
| Taxonomy | 172M00000X |
| Licence No | MA00023326 |
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Definition: A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or superv |
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What is the unique identification code assigned to Jaclyn June Monge Southard by the Centers for Medicare & Medicaid Services?
The Jaclyn June Monge Southard has been issued the NPI (National Provider Identifier) 1497936546. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jaclyn June Monge Southard?
The Jaclyn June Monge Southard is situated at 9649 Lookout Dr Nw, in the city of Olympia, state of WA, with the zip code 985029757.
What is Jaclyn June Monge Southard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jaclyn June Monge Southard's specialized field of practice is Mechanotherapist, and the corresponding taxonomy code that categorizes this area of specialization is 172M00000X.
On what date did Jaclyn June Monge Southard receive its 1497936546 assignment from the Centers for Medicare & Medicaid Services?
The Jaclyn June Monge Southard was assigned its 1497936546 on 2007-11-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jaclyn June Monge Southard most recently updated or refreshed?
The details pertaining to the Jaclyn June Monge Southard, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-11-22.