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MR. THEODORE BASIL JERDES LMP
NPI 1992251201
Specialist in Lacey, WA

Active since August 27, 2016
1210 SLEATER KINNEY RD SE, LACEY, WA 98503(360) 352-4511(360) 754-4703 Get Directions Write a Review

NPPES record last updated: August 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Theodore Basil Jerdes Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THEODORE BASIL JERDES LMP (NPI 1992251201) is an individual specialist in Lacey, Washington, licensed in Washington (MA 60597586) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1992251201
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. THEODORE BASIL JERDESCredential: LMP
Location Address1210 SLEATER KINNEY RD SELacey, WA 98503-2316
Mailing Address1210 Sleater Kinney Rd SeLacey, WA 98503-2316 · (360) 352-4511 · Fax (360) 754-4703
Phone(360) 352-4511
Fax(360) 754-4703
Sole ProprietorNo
Enumeration DateAugust 27, 2016
✔ NPI 1992251201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MA 60597586
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1210 SLEATER KINNEY RD SE, Lacey, WA 98503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NINA L SLAVSKY LMP
Massage Therapist
1210 SLEATER KINNEY RD SE
LACEY, WA 98503
Thurston County (360) 352-4511
AMBER HOLLEY L.M.P
Specialist
1210 SLEATER KINNEY RD SE
LACEY, WA 98503
Thurston County (360) 352-4511
JAMES LEE DINSMORE L.M.T.
Massage Therapist
1210 SLEATER KINNEY RD SE
LACEY, WA 98503
Thurston County (360) 352-4511
JENNIFER SLOCUM
Massage Therapist
1210 SLEATER KINNEY RD SE
LACEY, WA 98503
Thurston County (360) 352-4511
DAWN COLLIER MT
Massage Therapist
1210 SLEATER KINNEY RD SE
LACEY, WA 98503
Thurston County (360) 352-4511
EMILY GIBBS LMT
Massage Therapist
1210 SLEATER KINNEY RD SE
LACEY, WA 98503
Thurston County (360) 352-4511
MRS. KINDRA NADINE DUMAR LMT
Massage Therapist
1210 SLEATER KINNEY RD SE
LACEY, WA 98503
Thurston County (360) 352-4511
EMILY TREAKLE-CHASE LMT
Massage Therapist
1210 SLEATER KINNEY RD SE
LACEY, WA 98503
Thurston County (360) 352-4511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Jerdes's NPI number?

The NPI number for Theodore Jerdes is 1992251201. It was assigned to this individual provider in the NPPES registry on August 27, 2016.

Where is Theodore Jerdes located?

Theodore Jerdes practices at 1210 Sleater Kinney Rd SE, Lacey, WA 98503. The listed phone number is (360) 352-4511.

What is Theodore Jerdes's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Theodore Jerdes accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Theodore Jerdes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Jerdes was last updated on August 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.