Provider Demographics
NPI:1306140983
Name:KARLE, DANIEL OLIVER
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:OLIVER
Last Name:KARLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 S KING ST APT 205
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2982
Mailing Address - Country:US
Mailing Address - Phone:607-342-4180
Mailing Address - Fax:
Practice Address - Street 1:621 S KING ST APT 205
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2982
Practice Address - Country:US
Practice Address - Phone:607-342-4180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60197511225700000X
NY27 023941225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist