Provider Demographics
NPI:1164055687
Name:SCHABER, KARA (MA60999406)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:SCHABER
Suffix:
Gender:F
Credentials:MA60999406
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5930 21ST AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-2986
Mailing Address - Country:US
Mailing Address - Phone:612-867-9450
Mailing Address - Fax:
Practice Address - Street 1:5930 21ST AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-2986
Practice Address - Country:US
Practice Address - Phone:612-867-9450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60999406225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist