Provider Demographics
NPI:1316226343
Name:KAINRAD, KAREN E (OT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:KAINRAD
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 PIMERNEL LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2362
Mailing Address - Country:US
Mailing Address - Phone:972-832-9318
Mailing Address - Fax:972-881-4748
Practice Address - Street 1:321 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7378
Practice Address - Country:US
Practice Address - Phone:972-832-9318
Practice Address - Fax:972-881-4748
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113690225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A0071Medicare UPIN