Provider Demographics
NPI:1366793929
Name:FILKOWSKI, JON R
Entity type:Individual
Prefix:MR
First Name:JON
Middle Name:R
Last Name:FILKOWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 JADWIN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4256
Mailing Address - Country:US
Mailing Address - Phone:509-946-9007
Mailing Address - Fax:509-946-9755
Practice Address - Street 1:702 JADWIN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4256
Practice Address - Country:US
Practice Address - Phone:509-946-9007
Practice Address - Fax:509-946-9755
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00010259225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist