Provider Demographics
NPI:1609481621
Name:JOINES, KEVIN M (DPT)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:M
Last Name:JOINES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 SHERIDAN RD
Mailing Address - Street 2:STE 109
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-2701
Mailing Address - Country:US
Mailing Address - Phone:541-776-2333
Mailing Address - Fax:541-776-2495
Practice Address - Street 1:36 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7114
Practice Address - Country:US
Practice Address - Phone:541-776-2333
Practice Address - Fax:541-776-2495
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61271746225100000X
OR63818225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist