Provider Demographics
NPI:1477516714
Name:SWEENEY, JANE KATHLEEN (PT, PHD, PCS)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:KATHLEEN
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:PT, PHD, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8814 30TH STREET CT NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-6015
Mailing Address - Country:US
Mailing Address - Phone:253-265-3866
Mailing Address - Fax:253-265-3867
Practice Address - Street 1:8814 30TH STREET CT NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-6015
Practice Address - Country:US
Practice Address - Phone:253-265-3866
Practice Address - Fax:253-265-3867
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003102225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist