Provider Demographics
NPI:1417722588
Name:HORYNA, KAREN (PT, NBC-HWC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HORYNA
Suffix:
Gender:F
Credentials:PT, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1719 SW MUSTANG RD
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:KS
Mailing Address - Zip Code:67042-7911
Mailing Address - Country:US
Mailing Address - Phone:316-323-8469
Mailing Address - Fax:
Practice Address - Street 1:1719 SW MUSTANG RD
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:KS
Practice Address - Zip Code:67042-7911
Practice Address - Country:US
Practice Address - Phone:316-323-8469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-01753225100000X
KSA-3631172171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist