Provider Demographics
NPI:1376693903
Name:WARNER, JEFF S (PT)
Entity Type:Individual
Prefix:MR
First Name:JEFF
Middle Name:S
Last Name:WARNER
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Gender:M
Credentials:PT
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Mailing Address - Street 1:700 LILLY RD NE
Mailing Address - Street 2:OLYMPIA MEDICAL CENTER
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-5196
Mailing Address - Country:US
Mailing Address - Phone:360-923-7000
Mailing Address - Fax:360-923-7089
Practice Address - Street 1:700 LILLY ROAD NE
Practice Address - Street 2:OLYMPIA MEDICAL CENTER
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5196
Practice Address - Country:US
Practice Address - Phone:360-923-7621
Practice Address - Fax:360-923-7182
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2017-12-28
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Provider Licenses
StateLicense IDTaxonomies
CAPT23772225100000X
WAPT60751968225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist