Provider Demographics
NPI:1497063150
Name:TSCHIMPERLE, JASON ANDREW (LMP)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:ANDREW
Last Name:TSCHIMPERLE
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3320 WEST MCGRAW STREET
Mailing Address - Street 2:SUITE #4
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199
Mailing Address - Country:US
Mailing Address - Phone:206-283-9910
Mailing Address - Fax:286-283-9935
Practice Address - Street 1:3320 WEST MCGRAW STREET
Practice Address - Street 2:SUITE #4
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199
Practice Address - Country:US
Practice Address - Phone:206-283-9910
Practice Address - Fax:286-283-9935
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA60174955172M00000X
WAMA60174955225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No172M00000XOther Service ProvidersMechanotherapist