Provider Demographics
NPI:1790871770
Name:PINSKI, JANELLE L (PT)
Entity Type:Individual
Prefix:MS
First Name:JANELLE
Middle Name:L
Last Name:PINSKI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JANELLE
Other - Middle Name:L
Other - Last Name:WAID-CLEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:805 MADISON ST
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:206-264-8100
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:12911 120TH AVE NE
Practice Address - Street 2:SUITE H-220
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3027
Practice Address - Country:US
Practice Address - Phone:425-216-7075
Practice Address - Fax:425-216-7094
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009115225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP87481Medicare UPIN