Provider Demographics
NPI:1508143454
Name:AMUNDSON, KAREN H (LMT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:H
Last Name:AMUNDSON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2330 SEVEN SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-3909
Mailing Address - Country:US
Mailing Address - Phone:727-372-9388
Mailing Address - Fax:727-372-7563
Practice Address - Street 1:2330 SEVEN SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-3909
Practice Address - Country:US
Practice Address - Phone:727-372-9388
Practice Address - Fax:727-372-7563
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA23627225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist