Provider Demographics
NPI:1477749166
Name:TAIFOUR, ABDUL KARIM (LMPC)
Entity Type:Individual
Prefix:DR
First Name:ABDUL
Middle Name:KARIM
Last Name:TAIFOUR
Suffix:
Gender:M
Credentials:LMPC
Other - Prefix:DR
Other - First Name:ABDUL KARIM
Other - Middle Name:
Other - Last Name:TAIFOUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMPC
Mailing Address - Street 1:PO BOX 27612
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98165-2612
Mailing Address - Country:US
Mailing Address - Phone:206-226-2527
Mailing Address - Fax:866-305-5149
Practice Address - Street 1:11705 40TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-5726
Practice Address - Country:US
Practice Address - Phone:206-226-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2016-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA12437225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist