Provider Demographics
NPI:1003184573
Name:AINSWORTH, KARI IDDINGS (LMT)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:IDDINGS
Last Name:AINSWORTH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:IDDINGS
Other - Last Name:AINSWORTH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:32499 MARINERS WAY
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-4469
Mailing Address - Country:US
Mailing Address - Phone:302-362-2033
Mailing Address - Fax:
Practice Address - Street 1:32499 MARINERS WAY
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-4469
Practice Address - Country:US
Practice Address - Phone:302-362-2033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEMT-0001879225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist