Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | PT00003959 | WA |
N | 213ES0000X | Sports Medicine | PT00003959 | WA |
Y | 225100000X | Physical Therapist | PT00003959 | WA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT00003959 | WA |
NPI | 1447390026 |
---|---|
Provider Name | Karen L Greeley |
First Address | Seattle, WA 98177-4507 |
Second Address | Everett, WA 98208-4279 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 01/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8350936 | (05) | WA |