Provider Demographics
NPI:1740245588
Name:KARPOVICH, NATALIE JEANNE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:JEANNE
Last Name:KARPOVICH
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8911 STONEWALL W.
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-5162
Mailing Address - Country:US
Mailing Address - Phone:248-408-7027
Mailing Address - Fax:248-634-5995
Practice Address - Street 1:1016 N SAGINAW ST STE B
Practice Address - Street 2:
Practice Address - City:HOLLY
Practice Address - State:MI
Practice Address - Zip Code:48442-1379
Practice Address - Country:US
Practice Address - Phone:248-625-5998
Practice Address - Fax:248-625-3975
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501012034225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist