Provider Demographics
NPI:1043567928
Name:PUSKAS, KARLA (LMT)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:PUSKAS
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 1:5400 WARD ROAD BUILDING II STE G-104
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1819
Mailing Address - Country:US
Mailing Address - Phone:303-653-3282
Mailing Address - Fax:303-200-9344
Practice Address - Street 1:5400 WARD ROAD BUILDING II STE G-104
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1819
Practice Address - Country:US
Practice Address - Phone:303-653-3282
Practice Address - Fax:303-200-9344
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9345225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist