Provider Demographics
NPI:1417102609
Name:SWARINGIM, KAREN ELIZABETH (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELIZABETH
Last Name:SWARINGIM
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:HC 1 BOX 83
Mailing Address - Street 2:
Mailing Address - City:MIDDLE BROOK
Mailing Address - State:MO
Mailing Address - Zip Code:63656-9705
Mailing Address - Country:US
Mailing Address - Phone:573-546-3349
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 83
Practice Address - Street 2:
Practice Address - City:MIDDLE BROOK
Practice Address - State:MO
Practice Address - Zip Code:63656-9705
Practice Address - Country:US
Practice Address - Phone:573-546-3349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO109685225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist