Provider Demographics
NPI:1750951042
Name:JUSKO, ELIZABETH (PT, DPT, MS)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:JUSKO
Suffix:
Gender:F
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9229 160TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-7030
Mailing Address - Country:US
Mailing Address - Phone:425-359-3437
Mailing Address - Fax:
Practice Address - Street 1:13119 SEATTLE HILL RD STE 107
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-3402
Practice Address - Country:US
Practice Address - Phone:425-224-4490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT.PT.6116383225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist