Provider Demographics
NPI:1083257810
Name:VIRGINIA KARUNA STARR
Entity Type:Organization
Organization Name:VIRGINIA KARUNA STARR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:307-429-0967
Mailing Address - Street 1:PO BOX 814
Mailing Address - Street 2:
Mailing Address - City:BIG HORN
Mailing Address - State:WY
Mailing Address - Zip Code:82833-0814
Mailing Address - Country:US
Mailing Address - Phone:307-429-0967
Mailing Address - Fax:307-554-7302
Practice Address - Street 1:228 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:BIG HORN
Practice Address - State:WY
Practice Address - Zip Code:82833-5015
Practice Address - Country:US
Practice Address - Phone:307-429-0967
Practice Address - Fax:307-554-7302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy