IndividualActive
Juanita Nirider, PT
NPI 1679634653 · Pediatric Physical Therapist · Tacoma, WA
Provider details
- NPI number
- 1679634653
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT00003609 (WA)
Mailing address
4518 48 St Ct E
Tacoma, WA 98443-2568
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.