IndividualActive
Jacqueline Frady, LMP
NPI 1598733537 · Specialist · Sumner, WA
Provider details
- NPI number
- 1598733537
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA00009366 (WA)
Specialties & taxonomies
Other Service Providers
Practice location
603 Hunt Ave Ste B
Sumner, WA 98390-1117
Phone: (253) 209-2137
Approximate (ZIP-level) locationGet directions
Mailing address
6420 195th Ave E
Bonney Lake, WA 98391-8858
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2014-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.