Provider Demographics
NPI:1407120611
Name:HESS, JOYCE (C PED)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:HESS
Suffix:
Gender:F
Credentials:C PED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13017B VAIL CUT OFF RD SE
Mailing Address - Street 2:
Mailing Address - City:RAINIER
Mailing Address - State:WA
Mailing Address - Zip Code:98576-9679
Mailing Address - Country:US
Mailing Address - Phone:858-837-0959
Mailing Address - Fax:
Practice Address - Street 1:208 LILLY RD NE
Practice Address - Street 2:SUITE A
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-6100
Practice Address - Country:US
Practice Address - Phone:360-459-1099
Practice Address - Fax:360-459-1794
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist