MEDICARE: MS. MARY JANE HOHMAN LMP, OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA00013999	WA
2	225X00000X	Occupational Therapist	OT00002244	WA

General Provider Information

NPI Number	:	1669517447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY JANE HOHMAN LMP, OTR

Provider Business Mailing Address
First Line	:	2411 SW MYRTLE ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98106-1683
Country	:	US
Telephone Number	:	206-762-4899
Fax Number	:

Provider Business Practice Location Address
First Line	:	5437 CALIFORNIA AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1583
Country	:	US
Telephone Number	:	206-937-4777
Fax Number	:	206-923-0093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	09/11/2025

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