Provider Demographics
NPI:1275730640
Name:ABSHIRE, KARLA RENEE (PT)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:RENEE
Last Name:ABSHIRE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:RENEE
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3518 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-4524
Mailing Address - Country:US
Mailing Address - Phone:308-641-6053
Mailing Address - Fax:308-436-5920
Practice Address - Street 1:2325 LODGE DRIVE
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341
Practice Address - Country:US
Practice Address - Phone:308-436-5965
Practice Address - Fax:308-436-5920
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2006225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist