Provider Demographics
NPI:1659526788
Name:CAYO, JAMI R (LMP)
Entity Type:Individual
Prefix:MS
First Name:JAMI
Middle Name:R
Last Name:CAYO
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N I ST STE C
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-1925
Mailing Address - Country:US
Mailing Address - Phone:253-223-5115
Mailing Address - Fax:253-238-3466
Practice Address - Street 1:201 N I ST STE C
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-1925
Practice Address - Country:US
Practice Address - Phone:253-223-5115
Practice Address - Fax:253-238-3466
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-17
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00014882225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist