Provider Demographics
NPI:1346589512
Name:LAUCKHARDT, KAREN HULL (MA,PT,CHT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:HULL
Last Name:LAUCKHARDT
Suffix:
Gender:F
Credentials:MA,PT,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 S CLARKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-8702
Mailing Address - Country:US
Mailing Address - Phone:360-746-8546
Mailing Address - Fax:
Practice Address - Street 1:420 S CLARKWOOD DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-8702
Practice Address - Country:US
Practice Address - Phone:360-746-8546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT602101482251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand