Provider Demographics
NPI:1609205145
Name:HAAS, KAREN MICHELLE (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:MICHELLE
Last Name:HAAS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 SW 318TH PL APT A
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-5163
Mailing Address - Country:US
Mailing Address - Phone:253-874-5004
Mailing Address - Fax:
Practice Address - Street 1:1906 SW 318TH PL APT A
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-5163
Practice Address - Country:US
Practice Address - Phone:206-972-4758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00004275225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist