Provider Demographics
NPI:1609508142
Name:ZENSEN, CARRIE KAHLER
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:KAHLER
Last Name:ZENSEN
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 1:9 CRYSTAL SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-4635
Mailing Address - Country:US
Mailing Address - Phone:843-817-0082
Mailing Address - Fax:
Practice Address - Street 1:9 CRYSTAL SPRINGS DR
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-4635
Practice Address - Country:US
Practice Address - Phone:843-817-0082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer