Provider Demographics
NPI:1427849546
Name:SOMDAY, JACKLYNN MARIE
Entity type:Individual
Prefix:
First Name:JACKLYNN
Middle Name:MARIE
Last Name:SOMDAY
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 1:23054 CONCORD LN
Mailing Address - Street 2:
Mailing Address - City:SEDRO WOOLLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98284-8725
Mailing Address - Country:US
Mailing Address - Phone:509-207-9677
Mailing Address - Fax:
Practice Address - Street 1:23054 CONCORD LN
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-8725
Practice Address - Country:US
Practice Address - Phone:509-207-9677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist