Provider Demographics
NPI:1710567649
Name:DAY, JACQUELINE CAYE (LMT)
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:CAYE
Last Name:DAY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3584 TURNER RD SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-2043
Mailing Address - Country:US
Mailing Address - Phone:503-779-6120
Mailing Address - Fax:
Practice Address - Street 1:2111 FRONT ST NE STE 101
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-0765
Practice Address - Country:US
Practice Address - Phone:503-779-6120
Practice Address - Fax:971-423-0371
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR24906225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist