Provider Demographics
NPI:1063007243
Name:REHKEMPER, KARLEE MARGARET
Entity Type:Individual
Prefix:
First Name:KARLEE
Middle Name:MARGARET
Last Name:REHKEMPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 S GERMANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BREESE
Mailing Address - State:IL
Mailing Address - Zip Code:62230-0027
Mailing Address - Country:US
Mailing Address - Phone:618-526-9311
Mailing Address - Fax:877-420-7862
Practice Address - Street 1:380 S GERMANTOWN RD
Practice Address - Street 2:
Practice Address - City:BREESE
Practice Address - State:IL
Practice Address - Zip Code:62230-0027
Practice Address - Country:US
Practice Address - Phone:618-526-9311
Practice Address - Fax:877-420-7862
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070025749225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist