Provider Demographics
NPI:1427475532
Name:SIET, JAYME FAITH (OTR)
Entity type:Individual
Prefix:
First Name:JAYME
Middle Name:FAITH
Last Name:SIET
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 PROSPECTOR AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-7940
Mailing Address - Country:US
Mailing Address - Phone:970-828-1414
Mailing Address - Fax:
Practice Address - Street 1:450 PROSPECTOR AVE
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-7940
Practice Address - Country:US
Practice Address - Phone:970-828-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0003921225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist