Provider Demographics
NPI:1386096352
Name:REITHMAYR, KAREN KAY (LMP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:KAY
Last Name:REITHMAYR
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216305 E BRYSON BROWN RD
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99337-8519
Mailing Address - Country:US
Mailing Address - Phone:509-539-7263
Mailing Address - Fax:
Practice Address - Street 1:216305 E BRYSON BROWN RD
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99337-8519
Practice Address - Country:US
Practice Address - Phone:509-539-7263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-01
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60628297225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist