Provider Demographics
NPI:1346434289
Name:DOSCH, KARYN REBEKAH (PT)
Entity Type:Individual
Prefix:MS
First Name:KARYN
Middle Name:REBEKAH
Last Name:DOSCH
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:W226N7834 TIMBERLAND DR
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-1503
Mailing Address - Country:US
Mailing Address - Phone:414-708-0287
Mailing Address - Fax:
Practice Address - Street 1:W226N7834 TIMBERLAND DR
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089-1503
Practice Address - Country:US
Practice Address - Phone:414-708-0287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10843225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist