Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jacqueline Tully

Individual provider Physical Therapist · NPI 1770936320

MS. Jacqueline Tully is a Physical Therapist in Vancouver, Washington. Licensed in Oregon and Washington. Registered with an NPI since 2016.

Licensed in
OR, WA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

13115 NE 4th St Ste 100
Vancouver, WA 98684-5957
Phone: (360) 696-1070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P1 60033939 (WA)
Physical Therapist Taxonomy 225100000X · Licence 07481 (OR)

Record details

NPI number1770936320
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 19, 2016
Last updated in NPPESJuly 25, 2016

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