Provider Demographics
NPI:1518451426
Name:BRETTMANN, KARSYN MICHELLE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KARSYN
Middle Name:MICHELLE
Last Name:BRETTMANN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KARSYN
Other - Middle Name:MICHELLE
Other - Last Name:MEAIRS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-2564
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:3747 SW RAINTREE DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64082
Practice Address - Country:US
Practice Address - Phone:816-537-5650
Practice Address - Fax:816-537-5649
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-05880225100000X
MO2018027984225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist