Provider Demographics
NPI:1285780148
Name:COLLIER, KARI (LMT)
Entity type:Individual
Prefix:MS
First Name:KARI
Middle Name:
Last Name:COLLIER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116A VIEW CT
Mailing Address - Street 2:
Mailing Address - City:SEVEN BAYS
Mailing Address - State:WA
Mailing Address - Zip Code:99122-9679
Mailing Address - Country:US
Mailing Address - Phone:206-790-2047
Mailing Address - Fax:509-725-0136
Practice Address - Street 1:116A VIEW CT
Practice Address - Street 2:
Practice Address - City:SEVEN BAYS
Practice Address - State:WA
Practice Address - Zip Code:99122-9679
Practice Address - Country:US
Practice Address - Phone:206-790-2047
Practice Address - Fax:509-725-0136
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00010986225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist