Provider Demographics
NPI:1669628558
Name:KAMMANN, KAREN (OTR)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:KAMMANN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:MARKUSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:401 MALLEY DR
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80233-2024
Mailing Address - Country:US
Mailing Address - Phone:303-284-7432
Mailing Address - Fax:303-451-5095
Practice Address - Street 1:401 MALLEY DR
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-2024
Practice Address - Country:US
Practice Address - Phone:303-452-4700
Practice Address - Fax:303-451-5095
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10646225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist