Provider Demographics
NPI:1659978617
Name:BRITTMAN, KARYN (CMT)
Entity Type:Individual
Prefix:
First Name:KARYN
Middle Name:
Last Name:BRITTMAN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:KARYN
Other - Middle Name:
Other - Last Name:WYRSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1404 ELKGROVE CIR APT 4
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-3115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1404 ELKGROVE CIR APT 4
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-3115
Practice Address - Country:US
Practice Address - Phone:323-683-9339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77215225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist