Provider Demographics
NPI:1326478520
Name:WEBB, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 DELANEY LN
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:AR
Mailing Address - Zip Code:72857-8814
Mailing Address - Country:US
Mailing Address - Phone:501-889-3843
Mailing Address - Fax:
Practice Address - Street 1:73 DELANEY LN
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:AR
Practice Address - Zip Code:72857-8814
Practice Address - Country:US
Practice Address - Phone:501-889-3843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT884225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist