MR. Theodore Basil Jerdes, LMP is a specialist in Lacey, WA. The provider is 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. MR. Theodore Basil Jerdes, LMP NPI is 1992251201. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1210 SLEATER KINNEY RD SE
LACEY, WA
ZIP 98503-316
Phone: (360) 352-4511
Fax: (360) 754-4703
The enumeration date for this NPI number is 8/27/2016 and was last updated on 8/27/2016.