Provider Demographics
NPI:1467667725
Name:KARR, LARRY JOHN (LMP)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:JOHN
Last Name:KARR
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14404 50TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-8977
Mailing Address - Country:US
Mailing Address - Phone:206-618-0029
Mailing Address - Fax:
Practice Address - Street 1:10303 19TH AVE SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-4258
Practice Address - Country:US
Practice Address - Phone:206-618-0029
Practice Address - Fax:425-337-3945
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00006532225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist