Provider Demographics
NPI:1679751168
Name:LOSTER, KAREN MICHELLE (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MICHELLE
Last Name:LOSTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:MICHELLE
Other - Last Name:MEADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:10710 MIDLOTHIAN TPKE
Mailing Address - Street 2:FAIRFAX BUILDING, SUITE 127
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4722
Mailing Address - Country:US
Mailing Address - Phone:804-267-6720
Mailing Address - Fax:804-267-6759
Practice Address - Street 1:10710 MIDLOTHIAN TPKE
Practice Address - Street 2:FAIRFAX BUILDING, SUITE 127
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4722
Practice Address - Country:US
Practice Address - Phone:804-267-6720
Practice Address - Fax:804-267-6759
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202635225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist