Provider Demographics
NPI:1760696652
Name:THOMPSON, KAREN L I (LMP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:THOMPSON
Suffix:I
Gender:F
Credentials:LMP
Other - Prefix:MS
Other - First Name:VIBHE
Other - Middle Name:KAREN
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2821 NE 115TH STREET
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125
Mailing Address - Country:US
Mailing Address - Phone:206-393-7218
Mailing Address - Fax:
Practice Address - Street 1:1058 NE 15TH STREET
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125
Practice Address - Country:US
Practice Address - Phone:209-393-7218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00003214225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist