Provider Demographics
NPI:1881807287
Name:HUTCHINSON, JASMINE LORI (LMP)
Entity type:Individual
Prefix:MS
First Name:JASMINE
Middle Name:LORI
Last Name:HUTCHINSON
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 1:16677 167TH ST SE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-2905
Mailing Address - Country:US
Mailing Address - Phone:206-919-1972
Mailing Address - Fax:
Practice Address - Street 1:11671 SE 1ST ST
Practice Address - Street 2:SUITE 302
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3759
Practice Address - Country:US
Practice Address - Phone:425-301-6842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021680225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist