Provider Demographics
NPI:1942551197
Name:KRAMER, SHARLAINA CAROLYN (MPT)
Entity Type:Individual
Prefix:
First Name:SHARLAINA
Middle Name:CAROLYN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 SE 156TH CT
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-8994
Mailing Address - Country:US
Mailing Address - Phone:360-213-3410
Mailing Address - Fax:
Practice Address - Street 1:1316 SE 156TH CT
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-8994
Practice Address - Country:US
Practice Address - Phone:360-213-3410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009087225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist