Provider Demographics
NPI:1306171210
Name:FIGG, JAYNIE MARIE
Entity type:Individual
Prefix:
First Name:JAYNIE
Middle Name:MARIE
Last Name:FIGG
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:PO BOX 98
Mailing Address - Street 2:24 N. 4TH STREET
Mailing Address - City:PACIFIC BEACH
Mailing Address - State:WA
Mailing Address - Zip Code:98571-0098
Mailing Address - Country:US
Mailing Address - Phone:360-580-8979
Mailing Address - Fax:
Practice Address - Street 1:24 N. 4TH STREET
Practice Address - Street 2:
Practice Address - City:PACIFIC BEACH
Practice Address - State:WA
Practice Address - Zip Code:98571-0098
Practice Address - Country:US
Practice Address - Phone:360-580-8979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022869225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist