Provider Demographics
NPI:1578164414
Name:HEMPERLY, ROCHELLE LYNN
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:LYNN
Last Name:HEMPERLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BETHEL ST NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4365
Mailing Address - Country:US
Mailing Address - Phone:360-596-7530
Mailing Address - Fax:
Practice Address - Street 1:111 BETHEL ST NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4365
Practice Address - Country:US
Practice Address - Phone:360-596-7530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT61085730225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist