Provider Demographics
NPI:1558806513
Name:MORGA, KARLA DANIELA (LMP)
Entity Type:Individual
Prefix:MISS
First Name:KARLA
Middle Name:DANIELA
Last Name:MORGA
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 D ST. SW
Mailing Address - Street 2:SUITE B3
Mailing Address - City:QUINCY
Mailing Address - State:WA
Mailing Address - Zip Code:98848
Mailing Address - Country:US
Mailing Address - Phone:509-797-5030
Mailing Address - Fax:509-352-2030
Practice Address - Street 1:21 D ST. SW
Practice Address - Street 2:SUITE B3
Practice Address - City:QUINCY
Practice Address - State:WA
Practice Address - Zip Code:98848
Practice Address - Country:US
Practice Address - Phone:509-797-5030
Practice Address - Fax:509-352-2030
Is Sole Proprietor?:No
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022603225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist