| Doctor Name: | KAREN LYNN WILD |
| NPI Number: | 1023155033 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 070010907 |
| Business Practice Address: | 3488 Jeffco Blvd Ste 102 Arnold, MO - 630106015 |
| Business Phone Number: | 6364645439 |
| Business Fax Number: | 6364645438 |
| Mailing Address: | 3488 Jeffco Blvd Ste 102, ARNOLD |
| State: | MO |
| Postal Code: | 630106015 |
| Phone Number: | 6364645439 |
| Fax Number: | 6364645438 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 11/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 070010907 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |