Provider Demographics
NPI:1730477365
Name:TEVIS, KARA (DPT)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:TEVIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:RANKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:7200 STONEHENGE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1620
Mailing Address - Country:US
Mailing Address - Phone:919-676-2001
Mailing Address - Fax:919-676-0023
Practice Address - Street 1:7200 STONEHENGE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-1620
Practice Address - Country:US
Practice Address - Phone:919-676-2001
Practice Address - Fax:919-676-0023
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12208225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist