Provider Demographics
NPI:1952466427
Name:MEIER-FRANZ, JUDIE L (MPT)
Entity Type:Individual
Prefix:MS
First Name:JUDIE
Middle Name:L
Last Name:MEIER-FRANZ
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2884 GRIFFIN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ENUMCLAW
Mailing Address - State:WA
Mailing Address - Zip Code:98022-2318
Mailing Address - Country:US
Mailing Address - Phone:360-825-6686
Mailing Address - Fax:360-825-9851
Practice Address - Street 1:2884 GRIFFIN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-2318
Practice Address - Country:US
Practice Address - Phone:360-825-6686
Practice Address - Fax:360-825-9851
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9021225100000X
WA7629225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8878887Medicare PIN