Provider Demographics
NPI:1578630901
Name:JONES, KARI LEE (LMT)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7425 DELPHI ROAD SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98512
Mailing Address - Country:US
Mailing Address - Phone:360-870-9065
Mailing Address - Fax:360-357-1391
Practice Address - Street 1:2938 LIMITED LN NW
Practice Address - Street 2:SUITE C-1
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-6500
Practice Address - Country:US
Practice Address - Phone:360-870-9065
Practice Address - Fax:360-357-1391
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00017326225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA20-1843309OtherEMPLOYER ID