Provider Demographics
NPI:1275099228
Name:SWANSON, KARMEN M (MOTR/L)
Entity Type:Individual
Prefix:
First Name:KARMEN
Middle Name:M
Last Name:SWANSON
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 W PLUMB LN STE 201
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3683
Mailing Address - Country:US
Mailing Address - Phone:775-853-7513
Mailing Address - Fax:775-853-7523
Practice Address - Street 1:540 W PLUMB LN STE 201
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3683
Practice Address - Country:US
Practice Address - Phone:775-853-7513
Practice Address - Fax:775-853-7523
Is Sole Proprietor?:No
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2208225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand