Provider Demographics
NPI:1770931750
Name:BOLLINGER, KARMALEE (LMT)
Entity type:Individual
Prefix:
First Name:KARMALEE
Middle Name:
Last Name:BOLLINGER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:KARMALEE
Other - Middle Name:
Other - Last Name:MORINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:6920 233RD STREET CT E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-9493
Mailing Address - Country:US
Mailing Address - Phone:253-448-3617
Mailing Address - Fax:253-242-2933
Practice Address - Street 1:6920 233RD STREET CT E
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-9493
Practice Address - Country:US
Practice Address - Phone:253-448-3617
Practice Address - Fax:253-242-2933
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60545353225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist