Individual
MS. KAREN E MCCLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2205 S MAIN ST, LAS CRUCES, NM 88005-3113
(575) 652-3515
(575) 652-3518
Mailing address
2404 S. LOCUST ST, STE 5, LAS CRUCES, NM 88001-5789
(575) 521-4188
(575) 521-3668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4149
NM
225100000X
Physical Therapist
PT60185600
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0270986
DEPT OF L&I
WA
01
—
0270990
DEPT OF L&I
WA
01
—
0270993
DEPT OF L&I
WA
01
—
0271004
DEPT OF L&I
WA
01
—
0332MC
REGENCE
WA
01
—
03339MC
REGENCE
WA
01
—
0333MC
REGENCE
WA
01
—
0334MC
REGENCE
WA
01
—
0335MC
REGENCE
WA
01
—
0336MC
REGENCE
WA
01
—
0338MC
REGENCE
WA
01
—
0340MC
REGENCE
WA
01
—
0341MC
REGENCE
WA
01
—
1174830111
DSHS
WA
01
—
P00893794
RAILROAD MEDICARE
WA
Enumeration date
09/13/2010
Last updated
10/26/2015
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