Provider Demographics
NPI:1164716353
Name:HESSL, KAREN (PT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:HESSL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 OLD BARN LN
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:CO
Mailing Address - Zip Code:81623-9246
Mailing Address - Country:US
Mailing Address - Phone:970-963-8465
Mailing Address - Fax:
Practice Address - Street 1:2305 BLAKE AVE
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4325
Practice Address - Country:US
Practice Address - Phone:970-945-5476
Practice Address - Fax:970-366-6337
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-05
Last Update Date:2011-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO542310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility