Provider Demographics
NPI:1255387742
Name:MCLEOD, VALERIE MARGARET (PT)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:MARGARET
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:MARGARET
Other - Last Name:HEATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 637
Mailing Address - Street 2:
Mailing Address - City:BELFAIR
Mailing Address - State:WA
Mailing Address - Zip Code:98528
Mailing Address - Country:US
Mailing Address - Phone:360-275-4352
Mailing Address - Fax:360-275-5692
Practice Address - Street 1:70 NE MEDICAL CENTER ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:BELFAIR
Practice Address - State:WA
Practice Address - Zip Code:98528
Practice Address - Country:US
Practice Address - Phone:360-275-4352
Practice Address - Fax:360-275-5692
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002351225100000X
CAPT8573225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8920647OtherCRIME VICTIMS
WA33281OtherPROVIDER STATE L&I
WA7014301Medicaid
OR022593Medicaid
WAMC2314OtherREGENCE BLUE SHIELD
WA33180OtherFACILITY STATE L&I
WA91117966403OtherKITSAP PHYSICIAN SVC
OR022593Medicaid