Provider Demographics
NPI:1063857928
Name:KRAMBERG, KAREN R (LMT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:KRAMBERG
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 RHODE ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-3313
Mailing Address - Country:US
Mailing Address - Phone:303-720-1440
Mailing Address - Fax:
Practice Address - Street 1:16321 RIVER HAVEN WAY
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-9688
Practice Address - Country:US
Practice Address - Phone:202-718-9548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT0014026225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist