Individual
KARA MARKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 LILLY RD NE, OLYMPIA, WA 98506-5117
(360) 508-5322
Mailing address
615 LILLY RD NE, OLYMPIA, WA 98506-5117
(360) 508-5322
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160171645
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225200000X
TAXONOMY CODE
WA
Enumeration date
08/26/2015
Last updated
08/26/2015
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