Provider Demographics
NPI:1164601027
Name:LITOS, KAREN L (PT, DPT, WCS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:LITOS
Suffix:
Gender:F
Credentials:PT, DPT, WCS
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:L
Other - Last Name:WOODMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2740 E LANSING DR
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-2898
Mailing Address - Country:US
Mailing Address - Phone:517-853-9139
Mailing Address - Fax:517-827-1642
Practice Address - Street 1:2740 E LANSING DR
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-2898
Practice Address - Country:US
Practice Address - Phone:517-853-9139
Practice Address - Fax:517-827-1642
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist