Provider Demographics
NPI:1639065923
Name:FRAZIER, JEFFERY (DPT)
Entity type:Individual
Prefix:
First Name:JEFFERY
Middle Name:
Last Name:FRAZIER
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 1:6403 88TH ST E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-6237
Mailing Address - Country:US
Mailing Address - Phone:253-592-5406
Mailing Address - Fax:
Practice Address - Street 1:326 CENTER AVE
Practice Address - Street 2:
Practice Address - City:KODIAK
Practice Address - State:AK
Practice Address - Zip Code:99615-7302
Practice Address - Country:US
Practice Address - Phone:907-486-4042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty