MEDICARE: MS. KAREN ELIZABETH ADAIR LMP

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	225700000X	Massage Therapist	MA60176578	WA

General Provider Information

NPI Number	:	1487950028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN ELIZABETH ADAIR LMP

Provider Business Mailing Address
First Line	:	21240 40TH PL S
Second Line	:	UNIT A
City	:	SEATAC
State	:	WA
Zip	:	98198-4243
Country	:	US
Telephone Number	:	425-213-4842
Fax Number	:

Provider Business Practice Location Address
First Line	:	21240 40TH PL S
Second Line	:	UNIT A
City	:	SEATAC
State	:	WA
Zip	:	98198-4243
Country	:	US
Telephone Number	:	425-213-4842
Fax Number	:

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

Provider Enumeration Date	:	01/30/2011
Last Update Date	:	01/30/2011

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