Provider Demographics
NPI:1336622000
Name:KALAMA, SONJA ERIKA (LMT)
Entity Type:Individual
Prefix:
First Name:SONJA
Middle Name:ERIKA
Last Name:KALAMA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 MOSMAN AVE SW
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-7632
Mailing Address - Country:US
Mailing Address - Phone:360-888-2165
Mailing Address - Fax:
Practice Address - Street 1:1412 E YELM AVE
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-8328
Practice Address - Country:US
Practice Address - Phone:360-458-7533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60521792225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist