Doctor Name: | MRS. KAREN SUE SHORT |
NPI Number: | 1053685131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT008652 |
Business Practice Address: | 105 N 13th St Decatur, IN - 467331409 |
Business Phone Number: | 2607242440 |
Business Fax Number: | 2607242402 |
Mailing Address: | 14535 Mill Rd, FORT WAYNE |
State: | IN |
Postal Code: | 468169447 |
Phone Number: | 2606393629 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2012 |
NPI Last Update Date: | 03/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT008652 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |