Provider Demographics
NPI:1730491341
Name:STRATTAN, KAREN S (LMT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:S
Last Name:STRATTAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6260 N US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-7437
Mailing Address - Country:US
Mailing Address - Phone:321-259-7772
Mailing Address - Fax:
Practice Address - Street 1:6260 N US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7437
Practice Address - Country:US
Practice Address - Phone:321-259-7772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA25931172M00000X
FLMM9131172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist