Provider Demographics
NPI:1255633210
Name:RUSCHE ANDREASON, KAREN ELIZABETH (LMP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ELIZABETH
Last Name:RUSCHE ANDREASON
Suffix:
Gender:F
Credentials:LMP
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Mailing Address - Street 1:811 112TH ST SW C-205
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204
Mailing Address - Country:US
Mailing Address - Phone:425-530-8727
Mailing Address - Fax:
Practice Address - Street 1:811 112TH ST SW APT C205
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-7839
Practice Address - Country:US
Practice Address - Phone:425-530-8727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60141185225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist