Provider Demographics
NPI:1578373924
Name:ARMENTA JIMENEZ, KARINA (LMP)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:ARMENTA JIMENEZ
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8215 WRIGLEY DR
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-7885
Mailing Address - Country:US
Mailing Address - Phone:509-581-7676
Mailing Address - Fax:
Practice Address - Street 1:8215 WRIGLEY DR
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-7885
Practice Address - Country:US
Practice Address - Phone:509-581-7676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61611846225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist