Provider Demographics
NPI:1568986602
Name:NIVER, KARA E (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:E
Last Name:NIVER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 BOONE AVE N STE 135
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4476
Mailing Address - Country:US
Mailing Address - Phone:218-791-9629
Mailing Address - Fax:
Practice Address - Street 1:15067 CRESTONE AVE W
Practice Address - Street 2:
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-4586
Practice Address - Country:US
Practice Address - Phone:952-683-9530
Practice Address - Fax:763-267-6653
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
10779225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist