MRS. KAREN ANN TARANTINO MEDINA, LMP - NPI NUMBER 1851510994

Summary

Provider Name: MRS. KAREN ANN TARANTINO MEDINA, LMP

NPI Number: 1851510994

Clasification: Massage Therapist (225700000X)

Address:
15826 197TH PL NE
WOODINVILLE, WA
ZIP 98077

Phone Number: (425) 442-0947



Detailed Information

MRS. Karen Ann Tarantino Medina, LMP is a massage therapist in Woodinville, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. The assigned NPI number for this provider is 1851510994 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

15826 197TH PL NE
WOODINVILLE, WA
ZIP 98077-431
Phone: (425) 442-0947

The enumeration date for this NPI number is 4/25/2007 and was last updated on 7/8/2007.





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 225700000X Massage Therapist MA00017640 WA Yes

NPI Record

No. Field Name Field Value
1 NPI 1851510994
2 Entity Type Code 1
3 Provider Last Name Legal Name MEDINA
4 Provider First Name KAREN
5 Provider Middle Name ANN TARANTINO
6 Provider Name Prefix Text MRS.
7 Provider Credential Text LMP
8 Provider First Line Business Practice Location Address 15826 197TH PL NE
9 Provider Business Practice Location Address City Name WOODINVILLE
10 Provider Business Practice Location Address State Name WA
11 Provider Business Practice Location Address Postal Code 980779431
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 4254420947
14 Provider Enumeration Date 4/25/2007
15 Last Update Date 7/8/2007
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 225700000X
18 Provider License Number 1 MA00017640
19 Provider License Number State Code 1 WA
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor Y

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.