Individual
KAREN CHRISTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665711
—
IA
01
—
070.016415
STATE LICENSE
IL
01
—
32071
BLUE CROSS BLUE SHIELD
IA
01
—
3999
STATE LICENSE
IA
01
—
5555
LICENSE#
WI
01
—
I19449
MEDICARE
IA
Enumeration date
08/29/2006
Last updated
04/21/2009
Update your record
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