IndividualActive
Jami Jckowski, LMT
NPI 1063753507 · Specialist · La Pine, OR
Provider details
- NPI number
- 1063753507
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 19600 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15202 Ponderosa Loop
La Pine, OR 97739-8948
Phone: (541) 977-7309
Street-level locationGet directions
Mailing address
15202 Ponderosa Loop
La Pine, OR 97739-8948
Registry dates
- Enumerated
- 2013-03-07
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.