Provider Demographics
NPI:1366659955
Name:DALKE, KAREN P (PT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:P
Last Name:DALKE
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 1:2801 PINE LAKE RD
Mailing Address - Street 2:SUITE K
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6041
Mailing Address - Country:US
Mailing Address - Phone:402-436-2986
Mailing Address - Fax:402-436-2999
Practice Address - Street 1:2801 PINE LAKE RD
Practice Address - Street 2:SUITE K
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6041
Practice Address - Country:US
Practice Address - Phone:402-436-2986
Practice Address - Fax:402-436-2999
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE538225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE02368OtherBLUECROSS BLUESHIELD
NEP00606162OtherRAILROAD MEDICARE
NEP00606162OtherRAILROAD MEDICARE