Provider Demographics
NPI:1134292550
Name:LA FOND, KAREN FRANCES (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:FRANCES
Last Name:LA FOND
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1874 134TH LN NW
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MN
Mailing Address - Zip Code:55304-7057
Mailing Address - Country:US
Mailing Address - Phone:763-862-4954
Mailing Address - Fax:763-862-4954
Practice Address - Street 1:1874 134TH LN NW
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-7057
Practice Address - Country:US
Practice Address - Phone:763-862-4954
Practice Address - Fax:763-862-4954
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7303225100000X
WI1715-024225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist