Healthcare Provider Details

I. General information

NPI: 1447390026
Provider Name (Legal Business Name): KAREN L GREELEY PT, OCS, COMT,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 03/17/2022
Certification Date: 03/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3221 EASTLAKE AVE E STE 110
SEATTLE WA
98102-7125
US

IV. Provider business mailing address

3221 EASTLAKE AVE E STE 110
SEATTLE WA
98102-7125
US

V. Phone/Fax

Practice location:
  • Phone: 206-641-7733
  • Fax: 206-641-3272
Mailing address:
  • Phone: 206-696-9475
  • Fax: 206-860-3746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberPT00003959
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT00003959
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00003959
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: