Basic Information
| Provider Information | |||||||||
| NPI: | 1588687107 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FROST | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1326 SAYBROOK XING | ||||||||
| Address2: | |||||||||
| City: | THOMPSONS STATION | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371795343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6155782455 | ||||||||
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| Practice Location | |||||||||
| Address1: | 503 HIGHLAND TER | ||||||||
| Address2: | |||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371302477 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158966866 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 7572 | TN | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.