Karen Marie Burley, LMP

Individual provider Active NPI Massage Therapist · Snohomish, WA

NPI 1164639795 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164639795
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA0020266 (WA)
Practice address
302 Maple Ave
Snohomish, WA 98290-2526
Phone
(360) 568-3319
Fax
(360) 568-5106
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA0020266WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA0020266 WA Yes

Addresses

Primary practice location

302 Maple Ave
Snohomish, WA 98290-2526

Mailing address

302 Maple Ave
Snohomish, WA 98290-2526
Phone (360) 568-3319

Other identifiers

IdentifierTypeStateIssuer
0192525OtherWASTATE LABOR & INDUSTRIES

Other providers in Snohomish, WA

All providers in Snohomish, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.