Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 6853 | OR |
Y | 225100000X | Physical Therapist | PT60274764 | WA |
NPI | 1003167800 |
---|---|
Provider Name | Karalee Anne Knox |
First Address | Bellingham, WA 98226-9278 |
Second Address | Bellingham, WA 98226-9278 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2012 |
Last Update Date | 22/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PT60274764 | LICENSE (01) | WA |