Healthcare Provider Details

I. General information

NPI: 1164450607
Provider Name (Legal Business Name): KAREN BARTOLOME CALARA MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 03/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 WESTLAKE AVE N SUITE 201
SEATTLE WA
98109-2777
US

IV. Provider business mailing address

PO BOX 70601
SEATTLE WA
98127-0601
US

V. Phone/Fax

Practice location:
  • Phone: 206-283-1030
  • Fax: 206-283-1040
Mailing address:
  • Phone: 206-283-1030
  • Fax: 206-283-1040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT00006941
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: