Provider Demographics
NPI:1285213421
Name:HASH, KAREN MARIE (PT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:HASH
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 1:249 ARROWHEAD TRL
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-7003
Mailing Address - Country:US
Mailing Address - Phone:865-332-9513
Mailing Address - Fax:
Practice Address - Street 1:249 ARROWHEAD TRL
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:TN
Practice Address - Zip Code:37763-7003
Practice Address - Country:US
Practice Address - Phone:865-332-9513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6626225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty