Provider Demographics
NPI:1598248817
Name:PRIMM, KAREN ARNETTA
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ARNETTA
Last Name:PRIMM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 LCR 476
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-2887
Mailing Address - Country:US
Mailing Address - Phone:903-388-2226
Mailing Address - Fax:254-772-2970
Practice Address - Street 1:401 OWEN LN
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-5558
Practice Address - Country:US
Practice Address - Phone:254-772-8900
Practice Address - Fax:254-772-2970
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231735225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology