Individual
KARIE LYNN IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010280
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213623
DEPARTMENT OF LABOR & IND
WA
05
—
8463853
—
WA
Enumeration date
11/06/2006
Last updated
08/16/2017
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