Provider Demographics
NPI:1679172423
Name:PIELEMEIER, JASMINE ANASTASIA (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:ANASTASIA
Last Name:PIELEMEIER
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 13TH AVE S APT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-4173
Mailing Address - Country:US
Mailing Address - Phone:520-343-4509
Mailing Address - Fax:
Practice Address - Street 1:1724 13TH AVE S APT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-4173
Practice Address - Country:US
Practice Address - Phone:520-343-4509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61093439225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist