Provider Demographics
NPI:1164450607
Name:CALARA, KAREN BARTOLOME (MSPT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:BARTOLOME
Last Name:CALARA
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 70601
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98127-0601
Mailing Address - Country:US
Mailing Address - Phone:206-283-1030
Mailing Address - Fax:206-283-1040
Practice Address - Street 1:1818 WESTLAKE AVE N
Practice Address - Street 2:SUITE 201
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2777
Practice Address - Country:US
Practice Address - Phone:206-283-1030
Practice Address - Fax:206-283-1040
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006941225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7101CAOtherREGENCE RIDER
WA0206667OtherLABOR & INDUSTRIES
WA7101CAOtherREGENCE RIDER