Provider Demographics
NPI:1235636077
Name:THOMAS, KAREN (PTA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 N CONVERSE ST
Mailing Address - Street 2:
Mailing Address - City:FLATONIA
Mailing Address - State:TX
Mailing Address - Zip Code:78941-2535
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:624 N CONVERSE ST
Practice Address - Street 2:
Practice Address - City:FLATONIA
Practice Address - State:TX
Practice Address - Zip Code:78941-2535
Practice Address - Country:US
Practice Address - Phone:361-865-3571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2028207225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant