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Contact Information

JORDAN M FAHEY, ACSM-CEP
1450 5TH ST SE STE 2500
PUYALLUP, WA98372-4692
 Phone: 253-381-9848
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Exercise Physiologist

224Y00000X
Indicates primary specialty

NPI Profile & details for JORDAN M FAHEY · (Female)

NPI # 1154196624
Status Active
Credentials ACSM-CEP
Entity Individual
Enumeration date 11/15/2023
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # 1074648
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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