Individual
KAREN A MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1945
(360) 454-1991
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 454-1945
(360) 454-1991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8878481
MEDICARE
WA
Enumeration date
01/07/2009
Last updated
07/21/2022
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