Provider Demographics
NPI:1619069812
Name:WHITT, KAREN BETH (OTR)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:BETH
Last Name:WHITT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 FOX DR
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80260-6898
Mailing Address - Country:US
Mailing Address - Phone:303-650-6878
Mailing Address - Fax:303-650-6002
Practice Address - Street 1:8801 FOX DR
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-6898
Practice Address - Country:US
Practice Address - Phone:303-650-6878
Practice Address - Fax:303-650-6002
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAA441535OtherNBCOT REG NUMBER