Provider Demographics
NPI:1518467869
Name:GEORGE, KARIN J (MS PT)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:J
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:J
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5146 S JERICHO ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5231
Mailing Address - Country:US
Mailing Address - Phone:303-349-7911
Mailing Address - Fax:
Practice Address - Street 1:16799 E LAKE AVE
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80016-3079
Practice Address - Country:US
Practice Address - Phone:303-409-2133
Practice Address - Fax:303-409-2233
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8364225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist