Jasmine Phoenix, LMP is a
Massage Therapist based in Clear Lake, Washington. Jasmine Phoenix is licensed to practice in Washington (license number MA00000839) and her current practice location is
12263 North Mill Street, Clear Lake, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 856-5354.
NPI number for Jasmine Phoenix is 1265642847 and her current mailing address is 2051 P.o. Box 257, Olympia, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265642847.
Healthcare Provider's Profile
Full Name | Jasmine Phoenix |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 12263 North Mill Street, Clear Lake, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265642847
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jasmine Phoenix such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265642847 | NPI | - | NPPES |
0158184 | Other | WA | LABOR AND INDUSTRIES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA00000839 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jasmine Phoenix is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jasmine Phoenix, LMP 2051 P.o. Box 257, Olympia, WA 98507-0257 Ph: (360) 708-0243 | Jasmine Phoenix, LMP 12263 North Mill Street, Clear Lake, WA 98235 Ph: (360) 856-5354 |
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