Provider Demographics
NPI:1558831651
Name:TROWBRIDGE, KAREN ELISE LEE (PT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELISE LEE
Last Name:TROWBRIDGE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35032 OAK WOOD DR
Mailing Address - Street 2:
Mailing Address - City:WHITNEY
Mailing Address - State:TX
Mailing Address - Zip Code:76692-4011
Mailing Address - Country:US
Mailing Address - Phone:254-717-9071
Mailing Address - Fax:
Practice Address - Street 1:35032 OAK WOOD DR
Practice Address - Street 2:
Practice Address - City:WHITNEY
Practice Address - State:TX
Practice Address - Zip Code:76692-4011
Practice Address - Country:US
Practice Address - Phone:254-717-9071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11578512251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics