Provider Demographics
NPI:1366462848
Name:SESSO, KAREN ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:SESSO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 N WASHINGTON ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-4702
Mailing Address - Country:US
Mailing Address - Phone:509-327-4373
Mailing Address - Fax:509-327-1244
Practice Address - Street 1:2110 N WASHINGTON ST STE 1
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-4702
Practice Address - Country:US
Practice Address - Phone:509-327-4373
Practice Address - Fax:509-327-1244
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA2204111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
WADSHSOther2006955
WA350017492OtherRAILROAD MEDICARE PTAN
WA91-1403067OtherTAX PAYOR IDENTIFICATION
G3000302084Medicare ID - Type Unspecified
T02467Medicare UPIN