Provider Demographics
NPI:1073350088
Name:SAATHOFF, JESSICA G (MATRN, ATC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:G
Last Name:SAATHOFF
Suffix:
Gender:F
Credentials:MATRN, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 BRENTWOOD PL
Mailing Address - Street 2:
Mailing Address - City:PHILOMATH
Mailing Address - State:OR
Mailing Address - Zip Code:97370-9413
Mailing Address - Country:US
Mailing Address - Phone:541-740-3662
Mailing Address - Fax:
Practice Address - Street 1:7401 144TH PL SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-7601
Practice Address - Country:US
Practice Address - Phone:360-563-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer