Basic Information
| Provider Information | |||||||||
| NPI: | 1265544050 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SCHOEPPE | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1188 106TH AVE NE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980048614 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4254544864 | ||||||||
| FaxNumber: | 4256463901 | ||||||||
| Practice Location | |||||||||
| Address1: | 1107 NE 45TH ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981054690 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2065457844 | ||||||||
| FaxNumber: | 2065457843 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 05/30/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT00007881 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.