Provider Demographics
NPI:1225382146
Name:SCHWEITZER, JAZMINE MARIE (LMP)
Entity Type:Individual
Prefix:
First Name:JAZMINE
Middle Name:MARIE
Last Name:SCHWEITZER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:JAZMINE
Other - Middle Name:MARIE
Other - Last Name:ELY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:5623 90TH ST E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-6437
Mailing Address - Country:US
Mailing Address - Phone:253-719-5730
Mailing Address - Fax:253-251-7343
Practice Address - Street 1:5623 90TH ST E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-6437
Practice Address - Country:US
Practice Address - Phone:253-719-5730
Practice Address - Fax:253-251-7343
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60163687225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist