Provider Demographics
NPI:1730290867
Name:STEGMILLER, JANICE K (PT)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:K
Last Name:STEGMILLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:K
Other - Last Name:HOLTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1519 132ND ST SE
Mailing Address - Street 2:SUITE A
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-7203
Mailing Address - Country:US
Mailing Address - Phone:425-357-9380
Mailing Address - Fax:425-357-9382
Practice Address - Street 1:7728 204TH ST NE
Practice Address - Street 2:SUITE A
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-2500
Practice Address - Country:US
Practice Address - Phone:360-403-8250
Practice Address - Fax:360-403-0917
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0294712OtherL & I
WA0294710OtherL & I
WA0294714OtherL & I
ND51244Medicaid
WA0294708OtherL & I
WAG891182Medicare PIN
ND51244Medicaid
WA0294708OtherL & I