Provider Demographics
NPI:1235541947
Name:MEYER, KARYN JEAN (DPT)
Entity Type:Individual
Prefix:
First Name:KARYN
Middle Name:JEAN
Last Name:MEYER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KARYN
Other - Middle Name:
Other - Last Name:ISITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1102 W INDIANTOWN RD STE 11
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6813
Mailing Address - Country:US
Mailing Address - Phone:561-741-1316
Mailing Address - Fax:561-741-1375
Practice Address - Street 1:1102 W INDIANTOWN RD STE 11
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6813
Practice Address - Country:US
Practice Address - Phone:561-741-1316
Practice Address - Fax:561-741-1375
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29267225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist