Healthcare Provider Details

I. General information

NPI: 1114380078
Provider Name (Legal Business Name): KARLA WHITBECK LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2016
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10808 NE 145TH ST
BOTHELL WA
98011-5200
US

IV. Provider business mailing address

8504 NE 133RD ST
KIRKLAND WA
98034-1730
US

V. Phone/Fax

Practice location:
  • Phone: 425-780-7965
  • Fax:
Mailing address:
  • Phone: 206-643-8345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA60343948
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60343948
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: