Provider Demographics
NPI:1659376127
Name:DIXON, KARI A (MSPT)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:A
Last Name:DIXON
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:G
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:8346 TRAFORD LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1600
Mailing Address - Country:US
Mailing Address - Phone:703-913-5705
Mailing Address - Fax:703-263-2015
Practice Address - Street 1:8346 TRAFORD LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1600
Practice Address - Country:US
Practice Address - Phone:703-913-5705
Practice Address - Fax:703-263-2015
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202877225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7298OtherCAREFIRST BCBS