Individual
MS. KAREN D PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, PH.D
Contact information
Practice address
3703 MAIN ST, JASPER, TN 37347-0436
(423) 939-4003
(423) 939-4006
Mailing address
PO BOX 456, JASPER, TN 37347-0456
(423) 939-4003
(423) 939-4006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000001187
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158816
BLUE CROSS
TN
01
—
11743225
CAQH
—
05
—
36524041
—
TN
Enumeration date
09/06/2005
Last updated
05/12/2023
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