Provider Demographics
NPI:1629248679
Name:DANIEL, KARAH ANN
Entity Type:Individual
Prefix:
First Name:KARAH
Middle Name:ANN
Last Name:DANIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARAH
Other - Middle Name:ANN
Other - Last Name:CARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:178 OLD LAMBSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-4527
Mailing Address - Country:US
Mailing Address - Phone:919-323-6199
Mailing Address - Fax:919-918-7885
Practice Address - Street 1:178 OLD LAMBSVILLE RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-4527
Practice Address - Country:US
Practice Address - Phone:919-323-6199
Practice Address - Fax:919-918-7885
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7585225700000X
WAMA00017696225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist