MEDICARE: KARA LATTA

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	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1700737947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA LATTA

Provider Business Mailing Address
First Line	:	4717 S 19TH ST STE 102
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-1167
Country	:	US
Telephone Number	:	253-534-7800
Fax Number	:	253-948-1998

Provider Business Practice Location Address
First Line	:	4717 S 19TH ST STE 102
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-1167
Country	:	US
Telephone Number	:	253-534-7800
Fax Number	:	253-948-1998

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

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ KARA LATTA ” Practice Location

Language	Start Address	Practice Location

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