Provider Demographics
NPI:1285860890
Name:SEILER, JAMIE JO (LMP)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:JO
Last Name:SEILER
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 1:4214 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-1207
Mailing Address - Country:US
Mailing Address - Phone:509-435-6703
Mailing Address - Fax:509-315-8354
Practice Address - Street 1:4214 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-1207
Practice Address - Country:US
Practice Address - Phone:509-435-6703
Practice Address - Fax:509-315-8354
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA600434013225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist