Provider Demographics
NPI:1386202745
Name:CAMPBELL, KARA ELIZABETH
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:ELIZABETH
Last Name:CAMPBELL
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 1:5914 WOLFPEN PLEASANT HILL RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-3079
Mailing Address - Country:US
Mailing Address - Phone:513-575-7878
Mailing Address - Fax:513-965-0047
Practice Address - Street 1:5914 WOLFPEN PLEASANT HILL RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-3079
Practice Address - Country:US
Practice Address - Phone:513-575-7878
Practice Address - Fax:513-965-0047
Is Sole Proprietor?:No
Enumeration Date:2019-05-31
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PT018108225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist