Provider Demographics
NPI:1467426817
Name:STRAUB STANTON, KAREN SUZANNE (MS, ATC, CSCS, EMT-B)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SUZANNE
Last Name:STRAUB STANTON
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Gender:F
Credentials:MS, ATC, CSCS, EMT-B
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Mailing Address - Street 1:613 ALFA CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-6263
Mailing Address - Country:US
Mailing Address - Phone:334-844-9722
Mailing Address - Fax:334-844-9850
Practice Address - Street 1:392 S DONAHUE DR
Practice Address - Street 2:AU ATHLETIC COMPLEX
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849-5321
Practice Address - Country:US
Practice Address - Phone:334-750-1295
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL#5892255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer