Provider Demographics
NPI:1932671617
Name:THORPE, JASMINE SIMONE (OTD)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:SIMONE
Last Name:THORPE
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14650 GARRETT AVE
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7543
Mailing Address - Country:US
Mailing Address - Phone:952-236-2000
Mailing Address - Fax:
Practice Address - Street 1:14650 GARRETT AVE
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7543
Practice Address - Country:US
Practice Address - Phone:952-236-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-19
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist