Provider Demographics
NPI:1205263365
Name:WOOD, JAIMEE A (LMT)
Entity type:Individual
Prefix:MS
First Name:JAIMEE
Middle Name:A
Last Name:WOOD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MRS
Other - First Name:JAIMEE
Other - Middle Name:
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:9447 35TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126
Mailing Address - Country:US
Mailing Address - Phone:206-822-5906
Mailing Address - Fax:206-937-4695
Practice Address - Street 1:9447 35TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126
Practice Address - Country:US
Practice Address - Phone:206-822-5906
Practice Address - Fax:206-937-4695
Is Sole Proprietor?:No
Enumeration Date:2013-10-03
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60404013225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist